Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Parent organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(631) 359-5805
Entity
Organization
Contact information
Practice address
2200 FLETCHER AVE STE 505, FORT LEE, NJ 07024-5016
(201) 849-5201
(201) 849-5014
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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