Organization
KCL THERAPEUTIC SERVICES, LLC
Active
Organization
KCL THERAPEUTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEORA C LEGRAND OTR/L (OCCUPATIONAL THERAPIST)
(347) 489-9207
Entity
Organization
Contact information
Practice address
165 E 19TH ST APT 1K, BROOKLYN, NY 11226-4816
(347) 489-9207
Mailing address
165 E 19TH ST APT 1K, BROOKLYN, NY 11226-4816
(347) 489-9207
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
013529-1
NY
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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