Organization
THERAPETIC RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE POLANCO OTR/L (OCCUPATIONAL THERAPY)
(347) 449-0360
Entity
Organization
Contact information
Practice address
36-36 33RD STREET, SUITE 500 THERAPETIC RESOURCES, LONG ISLAND CITY, NY 11106
(212) 589-1224
(646) 218-3756
Mailing address
619 VINCENT AVE, BRONX, NY 10465-1720
(347) 449-9360
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
014618
NY
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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