Provider Demographics
NPI:1689827834
Name:HUDSON VALLEY OCCUPATIONAL THERAPY ASSOCIATES
Entity Type:Organization
Organization Name:HUDSON VALLEY OCCUPATIONAL THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:F
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L
Authorized Official - Phone:845-297-9710
Mailing Address - Street 1:2799 W MAIN ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1577
Mailing Address - Country:US
Mailing Address - Phone:845-297-9710
Mailing Address - Fax:
Practice Address - Street 1:2799 W MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1577
Practice Address - Country:US
Practice Address - Phone:845-297-9710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-01
Last Update Date:2008-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency