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Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (MANAGER OF CREDENTIALING)
(631) 359-5805
Entity
Organization
Contact information
Practice address
693 WHITE PLAINS RD, FLOOR 1, EASTCHESTER, NY 10709
(914) 873-1989
(914) 840-5653
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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