Provider Demographics
NPI:1417370552
Name:VRB OCCUPATIONAL THERAPY LLC
Entity Type:Organization
Organization Name:VRB OCCUPATIONAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BABIN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L MED
Authorized Official - Phone:646-229-1433
Mailing Address - Street 1:122 PARK PL
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-3303
Mailing Address - Country:US
Mailing Address - Phone:646-229-1433
Mailing Address - Fax:718-622-8489
Practice Address - Street 1:122 PARK PL
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11217-3303
Practice Address - Country:US
Practice Address - Phone:646-229-1433
Practice Address - Fax:718-622-8489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000276252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency