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Organization
PROACTIVE OT/PT THERAPY PLLC
Active
Organization
PROACTIVE OT/PT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOCHEVED JACOB (MEMBER)
(718) 854-8844
Entity
Organization
Contact information
Practice address
1470 39TH ST, BROOKLYN, NY 11218-3618
(718) 854-8844
Mailing address
1470 39TH ST, BROOKLYN, NY 11218-3618
(718) 854-8844
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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