# IVETTA STEBE, OCCUPATIONAL THERAPIST, PC

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

## Provider details

- **NPI number:** 1669747754
- **Authorized official:** IVETTA STEBE OTR/L (OWNER/PRESIDENT)
- **Authorized official phone:** (917) 854-6164

## Contact information

- **Practice address:** 8517 67TH AVE, REGO PARK, NY 11374-5213
- **Practice address phone:** (917) 854-6164
- **Mailing address:** 6524 CROMWELL CRES, REGO PARK, NY 11374-5023
- **Mailing address phone:** (917) 854-6164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009476-1 | NY | Yes |

## Other

- **Enumeration date:** 03/21/2012
- **Last updated:** 03/21/2012