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Organization
OCCUPATIONAL THERAPY GROUP, LLP
Active
Organization
OCCUPATIONAL THERAPY GROUP, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORYAM LADOTUN (OWNER)
(917) 453-8417
Entity
Organization
Contact information
Practice address
688 COMMANDER AVE, WEST BABYLON, NY 11704-2302
(917) 453-8417
Mailing address
PO BOX 1607, WEST BABYLON, NY 11704-0607
(917) 453-8417
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017172-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017172-1
LICENSE#
NY
Enumeration date
04/29/2013
Last updated
04/29/2013
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