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NPI Code Detail

MEDICARE: ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC

MEDICARE: ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist010893-1NY
2225XP0200XPediatric Occupational Therapist010893-1NY
3225100000XPhysical Therapist014003NY

General Provider Information

NPI Number : 1730341504
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC
Provider Business Mailing Address
First Line : 346B LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-2905
Country : US
Telephone Number : 631-623-6371
Fax Number : 631-623-6373
Provider Business Practice Location Address
First Line : 346B LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-2905
Country : US
Telephone Number : 631-623-6371
Fax Number : 631-623-6373
Authorized Official
Title or Position : MANAGING MEMBER
Name : MRS. MARY ELIZABETH CARR-MCCREIGHT
Credential : OTR/L
Telephone Number : 631-220-4234
Provider Enumeration Date : 07/01/2008
Last Update Date : 07/02/2008

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Directions to “ADVANCED PHYSICAL AND OCCUPATIONAL THERAPY PLLC ” Practice Location

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