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Organization
OT SOURCE PC
Active
Organization
OT SOURCE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA CAYABYAB AQUINO (OTR)
(718) 288-8011
Entity
Organization
Contact information
Practice address
1335 E 66TH ST, BROOKLYN, NY 11234-5632
(718) 288-8011
Mailing address
1335 E 66TH ST, BROOKLYN, NY 11234-5632
(718) 288-8011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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