Provider Demographics
NPI:1104486562
Name:HAVE FUNCTION THERAPY INC
Entity type:Organization
Organization Name:HAVE FUNCTION THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALDIJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:MS OTR/L
Authorized Official - Phone:917-770-5959
Mailing Address - Street 1:55 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-1631
Mailing Address - Country:US
Mailing Address - Phone:917-770-5959
Mailing Address - Fax:
Practice Address - Street 1:55 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-1631
Practice Address - Country:US
Practice Address - Phone:917-770-5959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency