Individual
HEATHER MISROK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15050 14TH RD, WHITESTONE, NY 11357-2609
(718) 767-0071
Mailing address
124 2ND AVE APT 4B, NEW YORK, NY 10003-8323
(201) 566-4368
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
023221
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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