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Individual

MS. DEBRA DICKSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
170 W 12TH ST, NEW YORK, NY 10011-8202
(212) 604-8683
Mailing address
201 W 91ST ST APT 5B, NEW YORK, NY 10024-1324
(212) 706-1009

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010921-0
NY

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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