Provider Demographics
NPI:1073261822
Name:FIT FOR ALL OCCUPATIONAL THERAPY PC
Entity Type:Organization
Organization Name:FIT FOR ALL OCCUPATIONAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALEJANDRO
Authorized Official - Last Name:PIZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-863-2253
Mailing Address - Street 1:3520 35TH ST APT D42
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-1617
Mailing Address - Country:US
Mailing Address - Phone:917-863-2253
Mailing Address - Fax:
Practice Address - Street 1:3520 35TH ST APT D42
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-1617
Practice Address - Country:US
Practice Address - Phone:917-863-2253
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-11
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty