Individual
MS. PATRINA LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
170 E LINCOLN AVE, MOUNT VERNON, NY 10552-3317
(347) 406-5601
Mailing address
170 E LINCOLN AVE, MOUNT VERNON, NY 10552-3317
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006621-1
NY
Other
Enumeration date
12/08/2011
Last updated
07/02/2012
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