Individual provider · Type 1 NPI

Bruce Douglas, OTR LICENSE

Occupational Therapist · Brooklyn, NY

NPI number 1023233558 Active

Practice location

4319 Church Ave
Brooklyn, NY 11203-3101

Call (718) 978-3186 Map

Fax (718) 221-5530

Mailing address

609 Midwood St
Brooklyn, NY 11203-1103

Specialties and licenses

Taxonomy	Code	License
Occupational Therapist Primary	225X00000X	005500 (NY)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1023233558

Bruce Douglas, OTR LICENSE's National Provider Identifier is 1023233558, issued on Apr 17, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 1, 2013.