Provider Demographics
NPI:1679926810
Name:TAP PEDIATRIC OCCUPATIONAL THERAPY, PLLC
Entity Type:Organization
Organization Name:TAP PEDIATRIC OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHUETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L
Authorized Official - Phone:347-743-7390
Mailing Address - Street 1:110 CLIFTON PL
Mailing Address - Street 2:4F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1372
Mailing Address - Country:US
Mailing Address - Phone:347-743-7390
Mailing Address - Fax:
Practice Address - Street 1:110 CLIFTON PL
Practice Address - Street 2:4F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1372
Practice Address - Country:US
Practice Address - Phone:347-743-7390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-22
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005795225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty