Interactive Therapy Group
NPI #1831503176 in Rockaway Park, New York
Provider Information
- NPI Number
- 1831503176
- Entity Type
- Organization
- Organization Name
- Interactive Therapy Group
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Jun 15, 2014
- Last Updated
- Jun 15, 2014
Practice Location
- Address
- 10500 SHORE FRONT PKWY APT 7K
- City
- Rockaway Park
- State
- New York
- ZIP Code
- 11694-2756
- Phone
- (718) 679-6931
Authorized Official
- Name
- KRISTI MOORE, M.S.
- Title
- SEIT
- Phone
- (718) 679-6931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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