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Organization

CHILDREN'S THERAPY CORNER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM DOLAN (DIRECTOR)
(718) 437-2240
Entity
Organization

Contact information

Practice address
1102 52ND ST, BROOKLYN, NY 11219-3434
(718) 437-2240
Mailing address
1102 52ND ST, BROOKLYN, NY 11219-3434

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
026623
NY
225XP0200X
Pediatric Occupational Therapist
Primary
002872
NY

Other

Enumeration date
09/08/2010
Last updated
09/08/2010
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