Organization
CROWN HEIGHTS P.T., O.T AND SLP, PLLC
Active
Other names
Milestones
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEVORAH L DAVIDSON (EXECUTIVE DIRECTOR)
(718) 915-1961
Entity
Organization
Contact information
Practice address
571 E NEW YORK AVE OFC B, BROOKLYN, NY 11225-4592
(347) 663-9027
Mailing address
1577 CARROLL ST APT 3G, BROOKLYN, NY 11213-4589
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/03/2010
Last updated
09/15/2010
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