Organization
BIRCH TREE OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE RUTH BRENNER OTR/L (OWNER)
(631) 901-8100
Entity
Organization
Contact information
Practice address
121 RIVER RD, ULSTER PARK, NY 12487-5134
(631) 901-8100
Mailing address
121 RIVER RD, ULSTER PARK, NY 12487-5134
(631) 901-8100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
06/23/2023
Last updated
06/26/2023
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