Provider Demographics
NPI:1669864161
Name:OCCUPATIONAL THERAPY 4 ALL PC
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY 4 ALL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHVARTSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:917-693-8272
Mailing Address - Street 1:107 VAN SICKLEN ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-2738
Mailing Address - Country:US
Mailing Address - Phone:917-693-8272
Mailing Address - Fax:
Practice Address - Street 1:107 VAN SICKLEN ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-2738
Practice Address - Country:US
Practice Address - Phone:917-693-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2015-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015993225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty