Provider Demographics
NPI:1568770311
Name:ROCKLAND OCCUPATIONAL THERAPY FOR CHILDREN P C
Entity Type:Organization
Organization Name:ROCKLAND OCCUPATIONAL THERAPY FOR CHILDREN P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:GAYLE
Authorized Official - Last Name:MCFALL
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:845-352-7140
Mailing Address - Street 1:749 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1902
Mailing Address - Country:US
Mailing Address - Phone:845-352-7140
Mailing Address - Fax:845-352-7150
Practice Address - Street 1:749 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1902
Practice Address - Country:US
Practice Address - Phone:845-352-7140
Practice Address - Fax:845-352-7150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-15
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY580252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency