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General NPI Number Information
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NPI Number | 1801041165
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Entity Type | Organization
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Legal Business Name | THERAPY CENTRO, OT, PC
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Dates
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Enumeration Date | 11/28/2008
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Last Update Date | 11/28/2008
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Provider Practice Location Address
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Address Line | 4632 SPRINGFIELD BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3517
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Country | US
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Telephone | 917-553-4824
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Fax |
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Provider Business Mailing Address
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Address Line | 4632 SPRINGFIELD BLVD
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City | BAYSIDE
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State | NY
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Zip | 11361-3517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MS. ANITA LIU-CHEN
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Credential | OTR/L
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Telephone | 917-553-4824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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