Provider Demographics
NPI:1174026819
Name:ONE ON ONE OCCUPATIONAL THERAPY PA
Entity Type:Organization
Organization Name:ONE ON ONE OCCUPATIONAL THERAPY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAIAT
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:917-715-8125
Mailing Address - Street 1:2691 E 23RD ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2825
Mailing Address - Country:US
Mailing Address - Phone:917-715-8125
Mailing Address - Fax:
Practice Address - Street 1:263 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1180
Practice Address - Country:US
Practice Address - Phone:917-715-8125
Practice Address - Fax:888-908-8284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty