Individual
MRS. ANU SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
8992 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2514
(718) 740-7189
Mailing address
8992 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11427-2514
(718) 740-7189
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0-12891-1
NY
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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