Organization
REHAB RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA TENEYCK (OCCUPATIONAL THERAPIST)
(315) 345-4395
Entity
Organization
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
864 BAILEY RD, FABIUS, NY 13063-9781
(315) 345-4395
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
012769
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012769
OCCUPATIONAL THERAPY LISCENSE
NY
Enumeration date
11/24/2008
Last updated
11/24/2008
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