Individual
CYNTHIA J. GRESHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3537 102ND ST, CORONA, NY 11368-1958
(718) 533-1472
Mailing address
35-37 102ND STREET, CORONA, NY 11368-1958
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011328-1
NY
Other
Enumeration date
10/31/2011
Last updated
04/09/2012
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