Healthcare Provider Details

I. General information

NPI: 1164120176
Provider Name (Legal Business Name): CO-MOTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 FOSTER AVE
BROOKLYN NY
11230-7600
US

IV. Provider business mailing address

449 FOSTER AVE
BROOKLYN NY
11230-7600
US

V. Phone/Fax

Practice location:
  • Phone: 347-224-3291
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DIANA ROTSTEIN
Title or Position: OWNER
Credential:
Phone: 347-224-3291