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Organization
INTERBORO PHYSICAL THERAPY AND OCCUPATIONAL THERAPY,PLLC
Active
Organization
INTERBORO PHYSICAL THERAPY AND OCCUPATIONAL THERAPY,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORELEI MERCADO OTRL (PRESIDENT)
(917) 403-7873
Entity
Organization
Contact information
Practice address
88-54 16 AVE., BROOKLYN, NY 11214
(917) 403-7873
Mailing address
88-54 16 AVE., BROOKLYN, NY 11214
(917) 403-7873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
015822
NY
225100000X
Physical Therapist
027860
NY
225X00000X
Occupational Therapist
013003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013003
NY OT LICENSE
NY
Enumeration date
06/06/2016
Last updated
06/06/2016
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