Provider Demographics
NPI:1689332306
Name:HUDSON HOME OT PLLC
Entity Type:Organization
Organization Name:HUDSON HOME OT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MS OT
Authorized Official - Phone:914-260-1953
Mailing Address - Street 1:1722 ST HWY 211
Mailing Address - Street 2:
Mailing Address - City:OTISVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10963-2711
Mailing Address - Country:US
Mailing Address - Phone:914-260-1953
Mailing Address - Fax:
Practice Address - Street 1:1722 ST HWY 211
Practice Address - Street 2:
Practice Address - City:OTISVILLE
Practice Address - State:NY
Practice Address - Zip Code:10963-2711
Practice Address - Country:US
Practice Address - Phone:914-260-1953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty