Individual
KIM-MARIE UGENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
95 SMITH ST, NANUET, NY 10954-3001
(917) 208-0386
Mailing address
95 SMITH ST, NANUET, NY 10954-3001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09069700
NJ
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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