Organization
ACHIEVE WELLNESS PT OT PLLC
Active
Other names
Achieve Wellness PT OT PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE DOHERTY OT (OWNER)
(631) 290-7400
Entity
Organization
Contact information
Practice address
239 BOYLE RD STE 3, SELDEN, NY 11784-1955
(631) 290-7400
Mailing address
239 BOYLE RD, STE 3, SELDEN, NY 11784-1955
(631) 290-7400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/16/2019
Last updated
12/26/2019
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