Individual
ELISABETH GABRIELE KLENSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375
(718) 762-7633
Mailing address
17 WEST 54TH ST, APT 3C, NYC, NY 10019
(212) 765-8718
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008193
NY
Other
Enumeration date
11/20/2012
Last updated
11/27/2012
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