Individual
MISS ANA C LEGUISAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
4115 51ST ST, B38, SUNNYSIDE, NY 11377-4465
(718) 505-2298
Mailing address
4115 51ST ST, B38, SUNNYSIDE, NY 11377-4465
(718) 505-2298
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012677
NY
Other
Enumeration date
03/18/2009
Last updated
09/02/2010
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