Organization
LIHT OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER M DEFEO OT (PRESIDENT)
(515) 505-2200
Entity
Organization
Contact information
Practice address
77 3RD ST, STAMFORD, CT 06905-4722
(516) 505-2200
(516) 505-5416
Mailing address
300 HEMPSTEAD TPKE, SUITE 3, WEST HEMPSTEAD, NY 11552-1450
(516) 505-2200
(516) 505-5416
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
003533
CT
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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