| NPI | 1558881797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM EBERT Ot/Owner 718-234-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 006813) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2022-07-21 |