Individual
OLIVETTE FELICIA CUMBERBATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
57 ELZEY AVE, ELMONT, NY 11003-1532
(516) 233-2754
Mailing address
57 ELZEY AVE, ELMONT, NY 11003-1532
(516) 233-2754
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010869
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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