Individual
COLETTE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
14504 FRANKTON ST, ROSEDALE, NY 11422-3338
(718) 712-2501
Mailing address
14504 FRANKTON ST, ROSEDALE, NY 11422-3338
(718) 712-2501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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