Basic Information
Provider Information
NPI: 1295808483
EntityType: 2
ReplacementNPI:  
OrganizationName: HAND THERAPY OF ROCKLAND,OT LLP
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Mailing Information
Address1: 254 S MAIN STREET
Address2: SUITE 400
City: NEW CITY
State: NY
PostalCode: 109563363
CountryCode: US
TelephoneNumber: 8456382728
FaxNumber: 8456381830
Practice Location
Address1: 254 S MAIN STREET
Address2: SUITE 400
City: NEW CITY
State: NY
PostalCode: 109563363
CountryCode: US
TelephoneNumber: 8456382728
FaxNumber: 8456381830
Other Information
ProviderEnumerationDate: 11/16/2006
LastUpdateDate: 08/06/2014
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AuthorizedOfficialLastName: FEDERBUSCH
AuthorizedOfficialFirstName: SHARI
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AuthorizedOfficialTitleorPosition: PARTNER/OWNER
AuthorizedOfficialTelephone: 8456382728
IsSoleProprietor:  
IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X  Y193400000X SINGLE SPECIALTY GROUPRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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