Provider Demographics
NPI:1710121686
Name:OT STEPS LLC
Entity Type:Organization
Organization Name:OT STEPS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAZHNIKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:201-888-0573
Mailing Address - Street 1:200 WINSTON DR APT 718
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-3214
Mailing Address - Country:US
Mailing Address - Phone:201-888-0573
Mailing Address - Fax:
Practice Address - Street 1:200 WINSTON DR APT 718
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-3214
Practice Address - Country:US
Practice Address - Phone:201-888-0573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009859-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency