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Organization

MIND AND BODY OCCUPATIONAL THERAPY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIGITTE CARIDAD DESPORT MS, OTR/L (PRESIDENT)
(917) 603-2385
Entity
Organization

Contact information

Practice address
300 W 135TH ST, 2S, NEW YORK, NY 10030-2731
(917) 603-2385
(212) 368-1241
Mailing address
PO BOX 653, NEW YORK, NY 10030-0600
(917) 603-2385
(212) 368-1241

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
009959-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
009959-1
NY

Other

Enumeration date
11/10/2008
Last updated
11/10/2008
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