Healthcare Provider Details

I. General information

NPI: 1659972255
Provider Name (Legal Business Name): MOVING MOUNTAINS OCCUPATIONAL THERAPY P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 IRISH CAPE RD
NAPANOCH NY
12458-2716
US

IV. Provider business mailing address

57 IRISH CAPE RD
NAPANOCH NY
12458-2716
US

V. Phone/Fax

Practice location:
  • Phone: 845-392-0253
  • Fax: 845-684-0200
Mailing address:
  • Phone: 845-392-0253
  • Fax: 845-684-0200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH ANN HARNETT
Title or Position: PRESIDENT/OCCUPATIONAL THERAPIST
Credential: OT
Phone: 845-392-0253