Provider Demographics
NPI:1750161766
Name:RM OCCUPATIONAL THERAPY, PLLC
Entity type:Organization
Organization Name:RM OCCUPATIONAL THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:RESHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHTANI
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:516-305-1975
Mailing Address - Street 1:5 FLOWER RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1740
Mailing Address - Country:US
Mailing Address - Phone:516-305-1975
Mailing Address - Fax:
Practice Address - Street 1:5 FLOWER RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1740
Practice Address - Country:US
Practice Address - Phone:516-305-1975
Practice Address - Fax:516-301-1386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty