Organization
BOLSTERS AND BALLS OCCUPATIONAL THERAPY
Active
Other names
BOLSTERS AND BALLS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNDA PAVEL OTRL (OWNER)
(917) 579-5399
Entity
Organization
Contact information
Practice address
1346 FAYETTE ST, TEANECK, NJ 07666-2118
(917) 579-5399
Mailing address
1346 FAYETTE ST, TEANECK, NJ 07666-2118
(917) 579-5399
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
225X00000X
Occupational Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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