Individual
PETER JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
6910 108TH ST APT 1G, FOREST HILLS, NY 11375-3813
(203) 912-5538
Mailing address
6910 108TH ST APT 1G, FOREST HILLS, NY 11375-3813
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008866
NY
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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