Organization
FUNCTIONAL BODY OCCUPATIONAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FARAH QUETTANT-VERGIN MS, OTR/L (OCCUPATIONAL THERAPIST)
(917) 340-1645
Entity
Organization
Contact information
Practice address
24024 MEMPHIS AVE, ROSEDALE, NY 11422-2017
(917) 340-1645
Mailing address
24024 MEMPHIS AVE, ROSEDALE, NY 11422-2017
(917) 340-1645
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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