Organization
THERAPY LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PUTKOWSKI AUGUSTUS OTR/L (OWNER)
(718) 909-8658
Entity
Organization
Contact information
Practice address
102 HYANNIS DR, HOLLY SPRINGS, NC 27540-8327
(718) 909-8658
Mailing address
6305 CARDINAUX LN, HOLLY SPRINGS, NC 27540-6410
(718) 909-8658
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
06/28/2024
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