Organization
INTEGRATED OCCUPATIONAL THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EBOLI OTR/L (PRESIDENT)
(718) 938-3302
Entity
Organization
Contact information
Practice address
17 N CHATSWORTH AVE, APT. 4F, LARCHMONT, NY 10538-2109
(718) 938-3302
Mailing address
17 N CHATSWORTH AVE, APT. 4F, LARCHMONT, NY 10538-2109
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/27/2011
Last updated
10/27/2011
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