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General NPI Number Information
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NPI Number | 1740562537
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Entity Type | Organization
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Legal Business Name | V&L OCCUPATIONAL AND PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 9205 ROCKAWAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-2428
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Country | US
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Telephone | 718-684-1996
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Fax |
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Provider Business Mailing Address
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Address Line | 9205 ROCKAWAY BLVD
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City | OZONE PARK
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State | NY
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Zip | 11417-2428
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Country | US
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Telephone | 718-684-1996
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VALERIA GROYSMAN
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Credential | OTR
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Telephone | 718-684-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 025591
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 015094
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License Number State | NY
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