Provider Demographics
NPI:1801226493
Name:LITTLE FEAT OCCUPATIONAL THERAPY P.C
Entity Type:Organization
Organization Name:LITTLE FEAT OCCUPATIONAL THERAPY P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/L PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAMILEE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLERMONT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-928-5696
Mailing Address - Street 1:649 EMPIRE BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-5246
Mailing Address - Country:US
Mailing Address - Phone:718-928-5696
Mailing Address - Fax:
Practice Address - Street 1:649 EMPIRE BLVD APT 3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-5246
Practice Address - Country:US
Practice Address - Phone:718-928-5696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health