Organization
VENETIAN OCCUPATIONAL THERAPY PLCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALLISON BROWN OTR/L (OTR/L)
(631) 932-0268
Entity
Organization
Contact information
Practice address
1406 WASHINGTON AVE, WEST ISLIP, NY 11795-1628
(631) 932-0268
Mailing address
1406 WASHINGTON AVE, WEST ISLIP, NY 11795-1628
(631) 932-0268
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009547-1
NY
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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