Itherapy Ot, Pc.

NPI #1972169423 in Bronx, New York

Provider Information

NPI Number: 1972169423
Entity Type: Organization
Organization Name: Itherapy Ot, Pc.
Primary Specialty: Occupational Therapist
Enumeration Date: May 10, 2019
Last Updated: May 10, 2019

Practice Location

Address: 339 MORRIS AVE
City: Bronx
State: New York
ZIP Code: 10451-6122
Phone: (914) 426-9779

Authorized Official

Name: MRS. IVY GRACE MANDAP LOPEZ, OTR/L
Title: PRESIDENT
Phone: (914) 426-9779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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