Individual
OMNI HORNEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
160 CLAREMONT AVE, #1B, NEW YORK, NY 10027-4635
(646) 761-2965
Mailing address
160 CLAREMONT AVE, #1B, NEW YORK, NY 10027-4635
(646) 761-2965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007868-1
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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