Organization
DYNAMIC OT AT HOME PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE CABALLERO OT (MANAGING DIRECTOR)
(845) 480-2593
Entity
Organization
Contact information
Practice address
32 HANSEN ST, TAPPAN, NY 10983-1717
(845) 480-2593
(201) 564-7514
Mailing address
32 HANSEN ST, TAPPAN, NY 10983-1717
(845) 480-2593
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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