Organization
IVETTA STEBE, OCCUPATIONAL THERAPIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVETTA STEBE OTR/L (OWNER/PRESIDENT)
(917) 854-6164
Entity
Organization
Contact information
Practice address
8517 67TH AVE, REGO PARK, NY 11374-5213
(917) 854-6164
Mailing address
6524 CROMWELL CRES, REGO PARK, NY 11374-5023
(917) 854-6164
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009476-1
NY
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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