Organization
THERAPEAK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN GOTTFRIED MS, OTR/L (PRESIDENT)
(516) 680-8142
Entity
Organization
Contact information
Practice address
124 BEACH 27TH ST, FAR ROCKAWAY, NY 11691-2208
(718) 868-1645
Mailing address
1724 CHALADAY LN, EAST MEADOW, NY 11554-4917
(718) 868-1645
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
011659
NY
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
10/28/2019
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