Individual
MS. MARIA A CARLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9457 134TH AVE, OZONE PARK, NY 11417-2527
(718) 848-0864
Mailing address
9457 134TH AVE, OZONE PARK, NY 11417-2527
(718) 848-0864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004858-1
NY
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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