Individual
NELYA MATATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7721 166TH ST, FRESH MEADOWS, NY 11366-1232
(718) 591-9283
Mailing address
7721 166TH ST, FRESH MEADOWS, NY 11366-1232
(718) 591-9283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005441-1
NY
Other
Enumeration date
12/27/2008
Last updated
12/27/2008
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