Individual
MRS. MARCIA JUNIOR DUVERNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6701 110TH ST, FOREST HILLS, NY 11375-2378
(718) 268-3137
Mailing address
6701 110TH ST, FOREST HILLS, NY 11375-2378
(718) 268-3137
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014060-1
NY
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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