Fundamental Play Occupational Therapy P C
Fundamental Play Occupational Therapy P C is a Pediatric Occupational Therapist in Fresh Meadows, New York. Licensed in New York. Registered with an NPI since 2018.
- Licensed in
- NY
- In the registry since
- 2018
Practice location Address checks out
6545 Parsons Blvd Apt 3JFresh Meadows, NY 11365-2419
Phone: (917) 499-1224
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 020599 (NY) |
|---|
Record details
| NPI number | 1164920500 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mazol Davydova — Occupational Therapy · (917) 499-1224 |
| NPI enumerated | January 31, 2018 |
| Last updated in NPPES | May 19, 2021 |
| Certification date | May 19, 2021 |
| Mailing address | 6545 Parsons Blvd Apt 3j, Fresh Meadows, NY 11365-2419 |
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