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Organization
MIGHTY CHAMPS OT, PLLC
Active
Organization
MIGHTY CHAMPS OT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEEHA PATEL OT (OWNER)
(405) 210-0831
Entity
Organization
Contact information
Practice address
140 W 79TH ST APT 1C, NEW YORK, NY 10024-6422
(405) 210-0831
Mailing address
2921 CARLISLE BLVD NE STE 119, ALBUQUERQUE, NM 87110-2864
(150) 553-9529
(505) 212-6368
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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