Home Base Therapy LLC

NPI #1952035545 in Hillside, New Jersey

Provider Information

NPI Number: 1952035545
Entity Type: Organization
Organization Name: Home Base Therapy LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 11, 2022
Last Updated: Sep 9, 2022

Practice Location

Address: 194 WILDER ST
City: Hillside
State: New Jersey
ZIP Code: 07205-3128
Phone: (845) 517-7802

Authorized Official

Name: NAVA POLATSEK, OTR/L
Title: MANAGING MEMBER
Phone: (845) 517-7802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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