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NPI Code Detail

MEDICARE: OUT OF THE BOX THERAPY SOLUTIONS, LLC

MEDICARE: OUT OF THE BOX THERAPY SOLUTIONS, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies46TR00155000NJ
2332BC3200XCustomized Equipment (DME)46TR00155000NJ

General Provider Information

NPI Number : 1730593492
Entity Type Code : Organization
Provider Name (Legal Business Name) : OUT OF THE BOX THERAPY SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 584 32ND ST
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2434
Country : US
Telephone Number : 201-983-8022
Fax Number : 201-601-8040
Provider Business Practice Location Address
First Line : 584 32ND ST
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-2434
Country : US
Telephone Number : 201-983-8022
Fax Number : 201-601-8040
Authorized Official
Title or Position : REGISTERED OCCUPATIONAL THERAPIST
Name : LAURA JENNIFER DLHOLUCKY
Credential : OTR, CHT, CLT
Telephone Number : 973-330-1466
Provider Enumeration Date : 06/19/2014
Last Update Date : 06/20/2014

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Directions to “OUT OF THE BOX THERAPY SOLUTIONS, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.