Individual
CARLINE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 W 34TH ST, 11TH FLOOR, NEW YORK, NY 10001-2320
(212) 273-6521
(212) 273-6427
Mailing address
762 E 102ND ST, BROOKLYN, NY 11236-2608
(718) 915-7097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013574
NYS LICENSE #
NY
Enumeration date
12/04/2007
Last updated
12/04/2007
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