Organization
J.J. WEIN OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENIFER AEDRA JACOBS WEIN OT (ORIGINAL MEMBER/MANAGER)
(917) 846-4576
Entity
Organization
Contact information
Practice address
111 SKY TOP DR, PLEASANTVILLE, NY 10570-1214
(917) 846-4576
Mailing address
111 SKY TOP DR, PLEASANTVILLE, NY 10570-1214
(917) 846-4576
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006926
NY
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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