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Organization
PS OCCUPATIONAL THERAPY PC
Active
Organization
PS OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL STADLER MS OTR/L (PRESIDENT)
(347) 247-6835
Entity
Organization
Contact information
Practice address
359 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
(347) 247-6835
Mailing address
359 RIDGEWOOD AVE, STATEN ISLAND, NY 10312-2117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009076-1
NY
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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