Organization
TRANQUILITEVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN RUIZ COTA (COTA)
(631) 645-1419
Entity
Organization
Contact information
Practice address
43 JEFFERSON AVE, BRENTWOOD, NY 11717-3237
(631) 645-1419
Mailing address
43 JEFFERSON AVE, BRENTWOOD, NY 11717-3237
(631) 645-1419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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