Organization
LK THERAPY PT, OT AND SLP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK JOSEPH FORDE (OFFICE MANAGER)
(845) 697-5064
Entity
Organization
Contact information
Practice address
41 COUNTY ROUTE 49, SLATE HILL, NY 10973-3713
(845) 697-5064
(845) 697-5064
Mailing address
41 COUNTY ROUTE 49, SLATE HILL, NY 10973-3713
(845) 697-5064
(845) 697-5064
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
025596
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043625148
—
NY
05
—
1104118462
—
NY
05
—
1326170986
—
NY
05
—
1487021242
—
NY
05
—
1720489040
—
NY
05
—
1811363393
—
NY
05
—
1871961946
—
NY
05
—
1922545938
—
NY
Enumeration date
02/23/2018
Last updated
11/26/2019
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