Organization
FUNCTIONAL LIVING OCCUPATIONAL THERAPY, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSICA DEIRO BERRYESSA OTR/L (OWNER)
(347) 930-9842
Entity
Organization
Contact information
Practice address
799 PRESIDENT ST, #2, BROOKLYN, NY 11215
(347) 930-9842
(718) 638-5508
Mailing address
799 PRESIDENT ST, #2, BROOKLYN, NY 11215
(347) 930-9842
(718) 638-5508
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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