Provider Demographics
NPI:1053629980
Name:COOPERS KIDS OCCUPATIONAL AND PHYSICAL THERAPY SERVICES, PLLC
Entity Type:Organization
Organization Name:COOPERS KIDS OCCUPATIONAL AND PHYSICAL THERAPY SERVICES, PLLC
Other - Org Name:SENSORY CIRCUIT AND GYM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FOLEY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:212-517-2777
Mailing Address - Street 1:276 5TH AVE
Mailing Address - Street 2:SUITE 500
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4509
Mailing Address - Country:US
Mailing Address - Phone:212-517-2777
Mailing Address - Fax:212-517-6315
Practice Address - Street 1:276 5TH AVE
Practice Address - Street 2:SUITE 500
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4509
Practice Address - Country:US
Practice Address - Phone:212-517-2777
Practice Address - Fax:212-517-6315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY193200000XOtherOCCUPATIONAL, PHYSICAL AND SPEECH THERAPY