Organization
JUMPING JAX SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINNA DANCOURT (OCCUPATIONAL THERAPIST)
(212) 877-0667
Entity
Organization
Contact information
Practice address
174 W 76TH ST, SUITE 1H, NEW YORK, NY 10023-8404
(212) 877-0667
Mailing address
174 W 76TH ST, SUITE 1H, NEW YORK, NY 10023-8404
(212) 877-0667
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
023085-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
011923
NY
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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