Provider Demographics
NPI:1194018986
Name:HANDS ON OCCUPATIONAL THERAPY AND PT PLLC
Entity Type:Organization
Organization Name:HANDS ON OCCUPATIONAL THERAPY AND PT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIMITRIOS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSTOPOULOS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, PHD, DSC
Authorized Official - Phone:718-707-6970
Mailing Address - Street 1:3270 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2643
Mailing Address - Country:US
Mailing Address - Phone:718-707-6970
Mailing Address - Fax:718-707-6977
Practice Address - Street 1:1015 MADISON AVE RM 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0261
Practice Address - Country:US
Practice Address - Phone:212-439-9303
Practice Address - Fax:212-744-4481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty