# THEAPEUTIC OUTREACH FOR CHILDREN, INC

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

## Provider details

- **NPI number:** 1730510124
- **Authorized official:** MRS. LISA MULLIGAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (609) 490-0592

## Contact information

- **Practice address:** 1 FARM LN, ROOSEVELT, NJ 08555-9800
- **Practice address phone:** (609) 490-0592
- **Mailing address:** PO BOX 458, ROOSEVELT, NJ 08555-0458
- **Mailing address phone:** (609) 490-0592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2013
- **Last updated:** 12/10/2013