Individual
MS. LEE AMIHAN MANAGASE KALU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1983 MARCUS AVENUE, SUITE E100, NEW HYDE PARK, NY 11042
(516) 326-5600
Mailing address
891 GALLOPING HILL RD., UNION, NJ 07083
(646) 339-4363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005048-1
NY
Other
Enumeration date
11/26/2008
Last updated
11/26/2008
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