# ACHIEVE WELLNESS PT OT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Achieve Wellness PT OT PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467018291
- **Authorized official:** JULIETTE DOHERTY OT (OWNER)
- **Authorized official phone:** (631) 290-7400

## Contact information

- **Practice address:** 239 BOYLE RD STE 3, SELDEN, NY 11784-1955
- **Practice address phone:** (631) 290-7400
- **Mailing address:** 239 BOYLE RD, STE 3, SELDEN, NY 11784-1955
- **Mailing address phone:** (631) 290-7400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 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