Individual
CAROL DODDS-LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8115 164TH ST, JAMAICA, NY 11432-1118
(718) 380-3000
(718) 380-3214
Mailing address
8635 250TH ST, BELLEROSE, NY 11426-2405
(718) 347-9157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000849
NY
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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