Organization
TIME TO SHINE OT THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHER WOLLNER (MANAGER)
(917) 463-6533
Entity
Organization
Contact information
Practice address
22 NORTH RD, BLOOMINGBURG, NY 12721-4687
(973) 280-9115
Mailing address
22 NORTH RD, BLOOMINGBURG, NY 12721-4687
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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