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Organization
ACHIEVE WELLNESS PT OT PLLC
Active
Organization
ACHIEVE WELLNESS PT OT PLLC
Active
Other names
Achieve Wellness PT OT PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE DOHERTY OT (OWNER)
(631) 290-7400
Entity
Organization
Contact information
Practice address
239 BOYLE RD STE 3, SELDEN, NY 11784-1955
(631) 290-7400
Mailing address
239 BOYLE RD, STE 3, SELDEN, NY 11784-1955
(631) 290-7400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
NULL
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
NULL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/16/2019
Last updated
12/26/2019
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