| Interactive Creative Therapy Inc | |
|
18 W 21st St, Deer Park, NY 11729-3918 | |
| (631) 306-4053 | |
| Not Available |
| Full Name | Interactive Creative Therapy Inc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 18 W 21st St, Deer Park, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316577307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Interactive Creative Therapy Inc 25 Massachusetts Ave, Port Jefferson Station, NY 11776-6101 Ph: (631) 790-2584 | Interactive Creative Therapy Inc 18 W 21st St, Deer Park, NY 11729-3918 Ph: (631) 306-4053 |
Morgan Lee Fusco, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Ms. Larissa Janel Hyde, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4 Countrywood Ct, Deer Park, NY 11729 Phone: 516-984-0971 | |
Mayan Oneg Beroukhim, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Miss Christina Fandaros, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 | |
Marie Anne Passaro, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 Fax: 631-392-0084 | |
Rafael Almanzar-paramio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1014 Grand Blvd Ste 5, Deer Park, NY 11729 Phone: 631-243-1765 | |
Nicole Joe-anne Quattrocchi, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Brandywine Dr, Deer Park, NY 11729 Phone: 631-392-0081 |