Organization
WEEGROW OCCUPATIONAL THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIGITTE C DESPORT DPS, OTR/L (PRESIDENT AND DIRECTOR)
(917) 603-2385
Entity
Organization
Contact information
Practice address
300 W 135TH ST, NEW YORK, NY 10030-2731
(917) 603-2385
Mailing address
300 W 135TH ST, NEW YORK, NY 10030-2731
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
009959-1
NY
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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