Organization
COMPLETE OT AND OTA SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CLUNE (OTR/L CO-OWNER)
(516) 330-2912
Entity
Organization
Contact information
Practice address
2545 HEMPSTEAD TPKE STE LL4, EAST MEADOW, NY 11554-2143
(516) 330-2912
Mailing address
2545 HEMPSTEAD TPKE STE LL4, EAST MEADOW, NY 11554-2143
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11617928
CAQH
—
Enumeration date
04/30/2020
Last updated
04/30/2020
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