Individual
ADANA NIKKIA GIBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
420 PALISADE AVE, 1D, YONKERS, NY 10703-2651
(914) 338-6857
Mailing address
420 PALISADE AVE, 1D, YONKERS, NY 10703-2651
(914) 338-6857
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008787-1
NY
Other
Enumeration date
08/12/2016
Last updated
08/12/2016
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