Organization
THE INSPIRED OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE A COFFIN OTR/L, EDD (OWNER)
(516) 637-2544
Entity
Organization
Contact information
Practice address
776 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1421
(516) 633-7254
Mailing address
776 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510-1421
(516) 633-7254
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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