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Individual

CAROL ANN MOONEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
84-60 PARSONS BOULEVARD, JAMAICA, NY 11432
(718) 298-6206
Mailing address
77-24 141 STREET, APT F, FLUSHING, NY 11367
(718) 591-3919

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008363-1
NY

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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