Provider Demographics
NPI:1710386735
Name:THERAPEUTIC CONECTIONS OT, PC
Entity Type:Organization
Organization Name:THERAPEUTIC CONECTIONS OT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOA
Authorized Official - Middle Name:B
Authorized Official - Last Name:THAI-ELINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:917-459-8289
Mailing Address - Street 1:2072 HERING AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1706
Mailing Address - Country:US
Mailing Address - Phone:917-459-8289
Mailing Address - Fax:
Practice Address - Street 1:2072 HERING AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1706
Practice Address - Country:US
Practice Address - Phone:917-459-8289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011727252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency