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Organization
AT HOME REHAB OT
Active
Organization
AT HOME REHAB OT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISHEVA JACOBSON OTR/L (MEMBER)
(845) 307-7200
Entity
Organization
Contact information
Practice address
56 POMONA RD, SUFFERN, NY 10901-1800
(845) 307-7200
Mailing address
56 POMONA RD, SUFFERN, NY 10901-1800
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/15/2021
Last updated
03/25/2022
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