Organization
OT SKILLS 4 LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA WANDERMAN (PRESIDENT)
(516) 817-7261
Entity
Organization
Contact information
Practice address
888 WILLIS AVE, ALBERTSON, NY 11507-1957
(516) 817-7261
Mailing address
3 PUTNAM AVE, JERICHO, NY 11753-1925
(516) 817-7261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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