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Organization

GREAT NECK OCCUPATIONAL THERAPY

Active
Parent organization
GREAT NECK OCCUPATIONAL THERAPY
Organization subpart
Yes

Provider details

NPI number
Legal business name
GREAT NECK OCCUPATIONAL THERAPY
Authorized official
MRS. RUTH ZACK MA OTRL (OCCUPATIONAL THERAPIST PRESIDENT)
(516) 829-4525
Entity
Organization

Contact information

Practice address
299 EAST SHORE ROAD, SUITE 201, GREAT NECK, NY 11023
(516) 829-4525
(516) 498-2477
Mailing address
299 EAST SHORE ROAD, SUITE 201, GREAT NECK, NY 11023
(516) 829-4525
(516) 498-2477

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0055861
NY

Other

Enumeration date
08/09/2007
Last updated
08/09/2007
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