| NPI | 1114219292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER GORVITZ Occupational Therapist 718-757-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015930) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2015-09-23 |