Individual
JOANNA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
22 AVE AT PORT IMPERIAL, UNIT 101, WEST NEW YORK, NJ 07093-7800
(646) 339-6383
Mailing address
22 AVE AT PORT IMPERIAL, UNIT 101, WEST NEW YORK, NJ 07093-7800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010193-1
NY
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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