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FUNCTIONAL BODY OCCUPATIONAL THERAPY, P.C.

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Company Details

Name: FUNCTIONAL BODY OCCUPATIONAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jul 2013 (12 years ago)
Entity Number: 4437344
ZIP code: 11234
County: Queens
Place of Formation: New York
Address: 4701 AVENUE N, BROOKLYN, NY, United States, 11234

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SMARTAX SERVICE INC. DOS Process Agent 4701 AVENUE N, BROOKLYN, NY, United States, 11234

National Provider Identifier

NPI Number:
1417587510
Certification Date:
2020-01-17

Authorized Person:

Name:
MRS. FARAH QUETTANT-VERGIN
Role:
OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
252Y00000X - Early Intervention Provider Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
130729000335 2013-07-29 CERTIFICATE OF INCORPORATION 2013-07-29

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State