# VENETIAN OCCUPATIONAL THERAPY PLCC

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

## Provider details

- **NPI number:** 1851620173
- **Authorized official:** MRS. ALLISON BROWN OTR/L (OTR/L)
- **Authorized official phone:** (631) 932-0268

## Contact information

- **Practice address:** 1406 WASHINGTON AVE, WEST ISLIP, NY 11795-1628
- **Practice address phone:** (631) 932-0268
- **Mailing address:** 1406 WASHINGTON AVE, WEST ISLIP, NY 11795-1628
- **Mailing address phone:** (631) 932-0268

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 009547-1 | NY | Yes |

## Other

- **Enumeration date:** 12/15/2009
- **Last updated:** 12/15/2009