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Organization
SOAR INTO ACTION, PC
Active
Organization
SOAR INTO ACTION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY EAPEN DPT (OWNER)
(516) 208-2100
Entity
Organization
Contact information
Practice address
306 NASSAU BLVD, GARDEN CITY, NY 11530-5314
(516) 208-2100
Mailing address
306 NASSAU BLVD, GARDEN CITY, NY 11530-5314
(516) 208-2100
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/09/2013
Last updated
04/04/2014
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