Provider Demographics
NPI:1598094435
Name:YOUR THERAPY CONNECTION
Entity Type:Organization
Organization Name:YOUR THERAPY CONNECTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BROWNE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L, CEES
Authorized Official - Phone:315-337-1533
Mailing Address - Street 1:405 W DOMINICK ST
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-4816
Mailing Address - Country:US
Mailing Address - Phone:315-337-1533
Mailing Address - Fax:
Practice Address - Street 1:405 W DOMINICK ST
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-4816
Practice Address - Country:US
Practice Address - Phone:315-337-1533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0089481225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty