# AT HOME REHAB OT

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

## Provider details

- **NPI number:** 1942969134
- **Authorized official:** ELISHEVA JACOBSON OTR/L (MEMBER)
- **Authorized official phone:** (845) 307-7200

## Contact information

- **Practice address:** 56 POMONA RD, SUFFERN, NY 10901-1800
- **Practice address phone:** (845) 307-7200
- **Mailing address:** 56 POMONA RD, SUFFERN, NY 10901-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2021
- **Last updated:** 03/25/2022