Organization
FORM FITNESS AND THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOORAIN SIDDIQUI OT (OWNER)
(929) 360-7861
Entity
Organization
Contact information
Practice address
290 BATTLE AVE, WHITE PLAINS, NY 10606-1503
(929) 360-7861
Mailing address
290 BATTLE AVE, WHITE PLAINS, NY 10606-1503
(929) 360-7861
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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