Organization
COMPLETE OT AND OTA SERVICES PLLC
Active
Organization
COMPLETE OT AND OTA SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CLUNE (OTR/L CHT CO-OWNER)
(631) 834-4027
Entity
Organization
Contact information
Practice address
9131 QUEENS BLVD STE 310, ELMHURST, NY 11373-5540
(718) 424-7856
(718) 424-6748
Mailing address
2545 HEMPSTEAD TPKE STE LL4, EAST MEADOW, NY 11554-2143
(516) 330-2912
(516) 605-0156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11617928
CAQH
—
Enumeration date
04/30/2020
Last updated
04/30/2020
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