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Organization
OCEAN REHAB
Active
Organization
OCEAN REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHALVA GOLDBAUM M.S. OTR/L (MANAGING MEMBER)
(347) 603-5656
Entity
Organization
Contact information
Practice address
1911 AVENUE L, LOWER LEVEL, BROOKLYN, NY 11230-5002
(347) 603-5656
Mailing address
1911 AVENUE L, LOWER LEVEL, BROOKLYN, NY 11230-5002
(347) 603-5656
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019274
NY
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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