# TIME TO SHINE OT THERAPY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659940385
- **Authorized official:** ASHER WOLLNER (MANAGER)
- **Authorized official phone:** (917) 463-6533

## Contact information

- **Practice address:** 22 NORTH RD, BLOOMINGBURG, NY 12721-4687
- **Practice address phone:** (973) 280-9115
- **Mailing address:** 22 NORTH RD, BLOOMINGBURG, NY 12721-4687

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/17/2021
- **Last updated:** 06/17/2021