Organization
INTEGRATIVE SPOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA KRAINESS SLP (OWNER)
(718) 450-2558
Entity
Organization
Contact information
Practice address
1366 ALVARADO AVE, LAKEWOOD, NJ 08701-3901
(718) 450-2558
Mailing address
1366 ALVARADO AVE, LAKEWOOD, NJ 08701-3901
(732) 806-0621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
02/23/2017
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