Individual
MRS. JEAN BARBARA HALISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
45 OCEAN TER, STATEN ISLAND, NY 10314-5625
(646) 529-5306
Mailing address
45 OCEAN TER, STATEN ISLAND, NY 10314-5625
(646) 529-5306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003869-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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