Organization Name: | FAYE GRAND, OTR L CHT PC |
NPI Number: | 1164643060 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FAYE MARCIA GRAND (OWNER) |
Mailing Address: | 26808 Union Tpke Floral Park |
State: | NY US |
Postal Code: | 110041351 |
Phone Number: | 7183434263 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 001704 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |