Individual
MRS. JACQUELINE SOPHIA HENRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13711 BELKNAP ST, SPRINGFIELD GARDENS, NY 11413-2619
(718) 749-5108
(718) 749-5108
Mailing address
13711 BELKNAP ST, SPRINGFIELD GARDENS, NY 11413-2619
(718) 749-5108
(718) 749-5108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003938
NY
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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