Healthcare Provider Details

I. General information

NPI: 1851544175
Provider Name (Legal Business Name): CONNECT THE DOTS OCCUPATIONAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 06/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 W 32ND ST STE 1100
NEW YORK NY
10001-3879
US

IV. Provider business mailing address

38 W 32ND ST STE 1100
NEW YORK NY
10001-3879
US

V. Phone/Fax

Practice location:
  • Phone: 212-290-0290
  • Fax:
Mailing address:
  • Phone: 212-290-0290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number010587-1
License Number StateNY

VIII. Authorized Official

Name: MRS. MARIANNE RHO
Title or Position: DIRECTOR
Credential: OTR/L
Phone: 212-290-0290