Individual
MR. FRANC IVAN FRANCISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
707 THROGGS NECK EXPY, BRONX, NY 10465-2319
(914) 469-0975
Mailing address
90 FERRIS AVE APT 3A, WHITE PLAINS, NY 10603-3428
(914) 469-0975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010774
NY
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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