Organization
ORIGINS INTEGRATIVE OCCUPATIONAL THERAPY PLLC
Active
Other names
Life Lifters Health Occupational Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW F ROSENBOOM OTR/L (CEO)
(631) 252-8167
Entity
Organization
Contact information
Practice address
21343 35TH AVE FL 2, BAYSIDE, NY 11361-1750
(631) 252-8167
Mailing address
111 NEW YORK AVE, SOUND BEACH, NY 11789-2250
(631) 252-8167
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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