Individual
ANNA KO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10923 71ST RD APT 2H, FOREST HILLS, NY 11375-4809
(917) 767-8148
Mailing address
10923 71ST RD APT 2H, FOREST HILLS, NY 11375-4809
(917) 767-8148
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019596
NY
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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