Individual
ROSALIE S PELECIA-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9022 218TH PL, QUEENS VILLAGE, NY 11428-1337
(917) 376-4918
Mailing address
9022 218TH PL, QUEENS VILLAGE, NY 11428-1337
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007662-1
NY
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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