Individual
MS. ALICE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
83 MULBERRY STREET, APT. 4C, NEW YORK, NY 10013
(917) 608-7517
Mailing address
83 MULBERRY STREET, APT. 4C, NEW YORK, NY 10013
(917) 608-7517
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008935-1
NY
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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