Provider Demographics
NPI:1700146669
Name:LAI LAW OCCUPATIONAL THERAPIST, PC
Entity type:Organization
Organization Name:LAI LAW OCCUPATIONAL THERAPIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAW
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:718-979-8949
Mailing Address - Street 1:66 EVA AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5610
Mailing Address - Country:US
Mailing Address - Phone:718-979-8949
Mailing Address - Fax:718-979-8949
Practice Address - Street 1:66 EVA AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-5610
Practice Address - Country:US
Practice Address - Phone:718-979-8949
Practice Address - Fax:718-979-8949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty