# THERAPEUTIC IMPRINTS OT, PT, SLP, LMSW, PSYCHOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Therapeutic Imprints, Therapuetic Imprints
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396398368
- **Authorized official:** DR. IRMA JEANETTE PEREIRA OTD, OTR/L (CEO)
- **Authorized official phone:** (718) 409-6977

## Contact information

- **Practice address:** 3265 JOHNSON AVE STE 302, BRONX, NY 10463-3539
- **Practice address phone:** (718) 409-6977
- **Practice address fax:** (718) 684-2811
- **Mailing address:** 3265 JOHNSON AVE STE 302, BRONX, NY 10463-3539
- **Mailing address phone:** (718) 409-6977
- **Mailing address fax:** (718) 684-2811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 07/18/2019
