Individual
MRS. NAVA MIRIAM BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
1115 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1756
(718) 471-1828
Mailing address
1115 WATERVIEW ST, FAR ROCKAWAY, NY 11691-1756
(718) 471-1828
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013497-1
NY
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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