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Organization
ORIGINS INTEGRATIVE OCCUPATIONAL THERAPY PLLC
Active
Organization
ORIGINS INTEGRATIVE OCCUPATIONAL THERAPY PLLC
Active
Other names
Life Lifters Health Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW F ROSENBOOM OTR/L (CEO)
(631) 252-8167
Entity
Organization
Contact information
Practice address
21343 35TH AVE FL 2, BAYSIDE, NY 11361-1750
(631) 252-8167
Mailing address
111 NEW YORK AVE, SOUND BEACH, NY 11789-2250
(631) 252-8167
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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