| Life Tree Occupational Therapy Services Pc | |
|
2900 Bragg St Brooklyn NY 11235-1144 | |
| (917) 659-5966 | |
| Not Available |
| Full Name | Life Tree Occupational Therapy Services Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2900 Bragg St, Brooklyn, New York |
| Authorized Official Name and Position | Akinwunmi O Jones (OT) |
| Authorized Official Contact | 9176595966 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Tree Occupational Therapy Services Pc 2552 Fenton Ave Bronx NY 10469-5643 Ph: () - | Life Tree Occupational Therapy Services Pc 2900 Bragg St Brooklyn NY 11235-1144 Ph: (917) 659-5966 |
| NPI Number | 1396506358 |
|---|---|
| Provider Enumeration Date | 01/17/2024 |
| Last Update Date | 01/17/2024 |
| Medicare PECOS PAC ID | 5193178440 |
|---|---|
| Medicare Enrollment ID | O20240202000575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396506358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Akinwunmi O Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023672128 PECOS PAC ID: 2860809381 Enrollment ID: I20210330001780 |
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