Organization
SPOTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE HEISLER (OCCUPATIONAL THERAPIST)
(212) 473-0011
Entity
Organization
Contact information
Practice address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
(212) 473-0011
Mailing address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
(212) 473-0011
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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