Individual
STEPHELENECIE CALIXTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1651 CONEY ISLAND AVE, BROOKLYN, NY 11230-5849
(718) 998-1415
Mailing address
261 LENOX RD, APT 3N, BROOKLYN, NY 11226-2183
(347) 622-9072
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
019315
NY
225XP0200X
Pediatric Occupational Therapist
Primary
019315
NY
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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