Individual
ALLIS JAYNE SEMCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2532 48TH ST, ASTORIA, NY 11103-1111
(917) 453-3830
Mailing address
2532 48TH ST, ASTORIA, NY 11103-1111
(917) 453-3830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
06/16/2014
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