Individual
HEIDI MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15327 88TH AVE, JAMAICA, NY 11432-3831
(718) 298-7700
Mailing address
66 WALTER DR, STONY POINT, NY 10980-1041
(845) 304-6535
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0216901
NY
Other
Enumeration date
11/08/2019
Last updated
11/08/2019
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