Innovative Pediatric Therapies Pt Ot Slp Pllc

NPI #1023304995 in Nyack, New York

Provider Information

NPI Number
1023304995
Entity Type
Organization
Organization Name
Innovative Pediatric Therapies Pt Ot Slp Pllc
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Jun 20, 2011
Last Updated
Sep 23, 2011

Practice Location

Address
31 BURD ST
City
Nyack
ZIP Code
10960-3205
Phone
(845) 353-3331

Authorized Official

Name
LISE PETRICONE, PT, PCS
Title
PRESIDENT
Phone
(845) 353-3331

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Hearing and SpeechHearing and Speech
Clinic/Center - RehabilitationRehabilitation
Clinic/Center - Physical TherapyPhysical Therapy

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