Individual
MR. CHANDRAMOULI L. METTAPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
8725 HOMELAWN ST, JAMAICA, NY 11432-2727
(718) 785-3275
Mailing address
11045 71ST RD STE 1G, FOREST HILLS, NY 11375-4968
(718) 593-4121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0033461
NY
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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