Provider Demographics
NPI:1962656215
Name:ANNA K. OCCUPATIONAL THERAPIST PC
Entity Type:Organization
Organization Name:ANNA K. OCCUPATIONAL THERAPIST PC
Other - Org Name:SENSORY FREEWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEENAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, OTR/L
Authorized Official - Phone:718-238-7451
Mailing Address - Street 1:9306 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-7005
Mailing Address - Country:US
Mailing Address - Phone:718-238-7451
Mailing Address - Fax:718-238-2765
Practice Address - Street 1:9306 4TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-7005
Practice Address - Country:US
Practice Address - Phone:718-238-7451
Practice Address - Fax:718-238-2765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency