Individual
MS. CELICA KING-GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
61 BROADWAY RM 2824, NEW YORK, NY 10006-2816
(212) 981-1977
Mailing address
PO BOX 580, VOLCANO, HI 96785-0580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017263
NY
225X00000X
Occupational Therapist
1197
HI
Other
Enumeration date
06/15/2012
Last updated
08/05/2019
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