Organization
OUTPATIENT MOBILE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TANYA LEE CLARK OTD, OTR/L (INCORPORATOR)
(860) 497-0239
Entity
Organization
Contact information
Practice address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(607) 278-6209
Mailing address
113 LABBY RD, NORTH GROSVENORDALE, CT 06255-1247
(860) 497-0239
(860) 497-0047
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
02/27/2019
Last updated
04/16/2020
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