Organization
KINGS OT AND OT THERAPY SERVICES LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WARREN KING (OCCUPATIONAL THERAPIST/ PRESIDENT)
(201) 359-6383
Entity
Organization
Contact information
Practice address
128 W GROVE ST, BOGOTA, NJ 07603-1003
(201) 359-6383
Mailing address
128 W GROVE ST, BOGOTA, NJ 07603-1003
(201) 359-6383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
026144
NY
225100000X
Physical Therapist
40QA01268400
NJ
2251P0200X
Pediatric Physical Therapist
026144
NY
2251P0200X
Pediatric Physical Therapist
40QA01268400
NJ
225X00000X
Occupational Therapist
007253
NY
225X00000X
Occupational Therapist
46TR00473800
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
007253
NY
225XP0200X
Pediatric Occupational Therapist
46TR00473800
NJ
Other
Enumeration date
03/09/2013
Last updated
03/09/2013
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