| NPI | 1609061696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WIRTENSON Owner 516-395-4271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 007153-1) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-07-15 |