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Organization
SUFFOLK OCCUPATIONAL THERAPY PLLC
Active
Organization
SUFFOLK OCCUPATIONAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A SHARPE MS OTR/L (OWNER/PARTNER)
(631) 581-5607
Entity
Organization
Contact information
Practice address
187 UNION AVE, ISLIP, NY 11751-4314
(631) 581-5607
Mailing address
187 UNION AVE, ISLIP, NY 11751-4314
(631) 581-5607
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63 009116
NY
Other
Enumeration date
03/12/2012
Last updated
02/08/2013
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