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Organization
SPOTS
Active
Organization
SPOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE HEISLER (OT)
(212) 473-0011
Entity
Organization
Contact information
Practice address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
(212) 473-0011
Mailing address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018211-1
NY
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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