Individual
MRS. ASHA MAMPILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7125 MAIN ST, KEW GARDENS HILLS, NY 11367-2014
(917) 488-5277
Mailing address
7125 MAIN ST, FLUSHING, NY 11367-2014
(917) 488-5277
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015052-1
NY
Other
Enumeration date
10/07/2010
Last updated
12/07/2011
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