Individual
MRS. LISA FELDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
703 EMERSON ST, WOODMERE, NY 11598-2836
(917) 741-3659
Mailing address
703 EMERSON ST, WOODMERE, NY 11598-2836
(917) 741-3659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
011987
NY
225XP0200X
Pediatric Occupational Therapist
Primary
011987
NY
Other
Enumeration date
11/16/2008
Last updated
11/16/2008
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