Healthcare Provider Details

I. General information

NPI: 1497490775
Provider Name (Legal Business Name): SPECIALIZED OT SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 05/02/2022
Certification Date: 05/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 FAIRVIEW RD
PENN VALLEY PA
19072-1328
US

IV. Provider business mailing address

45 FAIRVIEW RD
PENN VALLEY PA
19072-1328
US

V. Phone/Fax

Practice location:
  • Phone: 732-299-8498
  • Fax:
Mailing address:
  • Phone: 732-299-8498
  • 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 Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KLAUDIA CZAPLINSKA
Title or Position: OCCUPATIONAL THERAPIST/OWNER
Credential: OT
Phone: 732-299-8498