Individual
MICHELE LYNN MANISOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4554 39TH PL, #4C, SUNNYSIDE, NY 11104-3571
(718) 729-6407
Mailing address
4554 39TH PL, #4C, SUNNYSIDE, NY 11104-3571
(718) 729-6407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
007619
NY
225XP0200X
Pediatric Occupational Therapist
Primary
007619
NY
Other
Enumeration date
05/11/2010
Last updated
07/13/2010
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