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Organization
PATHWAYS OT THERAPEUTIC WELLNESS PLLC
Active
Organization
PATHWAYS OT THERAPEUTIC WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM A EBERT MS OTR (OWNER/DIRECTOR)
(732) 761-0708
Entity
Organization
Contact information
Practice address
1642 63RD ST, BROOKLYN, NY 11204-2744
(718) 234-5700
(718) 234-5755
Mailing address
1642 63RD ST, BROOKLYN, NY 11204-2744
(718) 234-5700
(718) 234-5755
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
006813
NY
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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