Occupational Therapy Clubhouse, PC
NPI #1396023487 in Rockaway Park, New York
Provider Information
- NPI Number
- 1396023487
- Entity Type
- Organization
- Organization Name
- Occupational Therapy Clubhouse, PC
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jul 25, 2011
- Last Updated
- Jul 25, 2011
Practice Location
- Address
- 321 BEACH 102ND ST
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-2867
- Phone
- (917) 721-5334
Authorized Official
- Name
- MISS VIRGINIA O'BRIEN, MS OTR/L
- Title
- OCCUPATIONAL THERAPIST
- Phone
- (917) 721-5334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Early Intervention Provider Agency |
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