Life Skills Enhancement Occupational Therapy Services, Pc | |
225a Pond Way, Staten Island, NY 10303-1645 | |
(513) 258-9586 | |
Not Available |
Full Name | Life Skills Enhancement Occupational Therapy Services, Pc |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 225a Pond Way, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124160999 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 013794-1 (New York) | Primary |
Provider Name | Kelli Prather |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1609981984 PECOS PAC ID: 7214933290 Enrollment ID: I20061014000026 |
Mailing Address | Practice Location Address |
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Life Skills Enhancement Occupational Therapy Services, Pc Po Box 141049, Cincinnati, OH 45250-1049 Ph: (513) 258-9586 | Life Skills Enhancement Occupational Therapy Services, Pc 225a Pond Way, Staten Island, NY 10303-1645 Ph: (513) 258-9586 |
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