Individual
MR. ANTHONY TEIXEIRA LAWRENCE TEIXEIRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1325 FRANKLIN AVE, GARDEN CITY, NY 11530-1666
(603) 724-4253
Mailing address
28 RIBBON ST, FRANKLIN SQUARE, NY 11010-4304
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009619
NY
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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