Organization
ELITE THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN VACHHANI (OCCUPATIONAL THERAPIST)
(203) 300-1704
Entity
Organization
Contact information
Practice address
1 RIVERVUE PL, TUCKAHOE, NY 10707-3230
(203) 300-1704
Mailing address
1 RIVERVUE PL, TUCKAHOE, NY 10707-3230
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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