Organization
BE THE CHANGE OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMEKA M SMITH OTR/L (OWNER)
(718) 208-5389
Entity
Organization
Contact information
Practice address
GARDEN OF EDEN HOME FOR ADULTS (OT/PT OFFICE), 1608 STILLWELL AVE, BROOKLYN, NY 11223
(718) 208-5389
Mailing address
687 E 58TH ST, BROOKLYN, NY 11234-1004
(718) 208-5389
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
01/08/2021
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