Organization
ROSEANN VANDERBECK OTR PC
Active
Parent organization
ROSEANN VANDERBECK OTR PC
Other names
South Shore Therapy Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSEANN VANDERBECK OTR PC
Authorized official
MRS. ROSEANN VANDERBECK OTR (PRESIDENT/ OWNER)
(516) 241-3684
Entity
Organization
Contact information
Practice address
559 ATLANTIC AVE, SUITE 8, EAST ROCKAWAY, NY 11518
(516) 872-4605
(516) 872-4606
Mailing address
71 CLINTON AVE, LYNBROOK, NY 11563
(516) 241-3684
(516) 887-6174
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0029301
NY
Other
Enumeration date
06/27/2008
Last updated
08/20/2013
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