Individual
ANNA ELISABETH MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3144 34TH ST APT 3R, ASTORIA, NY 11106-1742
(845) 653-1909
Mailing address
3144 34TH ST APT 3R, ASTORIA, NY 11106-1742
(845) 653-1909
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017577-1
NY
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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