Individual
THOMAS JOSEPH POLYKARPOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2895 ROOSEVELT AVENUE, BRONX, NY 10465-1028
(347) 245-4753
Mailing address
3170 AMPERE AVE, BRONX, NY 10465-1028
(347) 245-4753
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
008924
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
025981
NY
Other
Enumeration date
05/11/2016
Last updated
07/13/2022
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