Individual
MS. BETSY VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13712 94TH ST, OZONE PARK, NY 11417-2814
(718) 322-4980
Mailing address
13712 94TH ST, OZONE PARK, NY 11417-2814
(718) 322-4980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007244
NY
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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