Healthcare Provider Details

I. General information

NPI: 1801333208
Provider Name (Legal Business Name): HANDS FREE OT PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 01/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 DIVISION AVE
BROOKLYN NY
11211-7105
US

IV. Provider business mailing address

2072 OCEAN AVE SUITE 101
BROOKLYN NY
11230-7379
US

V. Phone/Fax

Practice location:
  • Phone: 718-909-3194
  • Fax:
Mailing address:
  • Phone: 718-616-1450
  • Fax: 718-743-8186

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number010936-1
License Number StateNY

VIII. Authorized Official

Name: MRS. ESTHER FRIED
Title or Position: OWNER
Credential: OTR/L
Phone: 718-909-3194