Organization
PROFESSIONAL OCCUPATIONAL & PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN BRUSH (CREDENTIALING MANAGER)
(718) 819-6805
Entity
Organization
Contact information
Practice address
75 ORIENT WAY, RUTHERFORD, NJ 07070-2085
(201) 531-0005
(201) 531-0045
Mailing address
2142 UTOPIA PKWY, WHITESTONE, NY 11357-4142
(718) 819-6805
(347) 841-9109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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