Organization
INTERACTIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA BROT TSSLD; M.S. (SPEECH AND LANGUAGE PATHOLOGIST)
(954) 895-1422
Entity
Organization
Contact information
Practice address
19 W 21ST ST RM 701, NEW YORK, NY 10010-6855
(646) 230-8190
Mailing address
55 W 26TH ST, APT 15D, NEW YORK, NY 10010-1001
(954) 895-1422
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NY
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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