Individual
WENZEL AICHA FITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1210 WILLOW LN, VALLEY STREAM, NY 11580-7011
(347) 404-3020
Mailing address
1210 WILLOW LN, VALLEY STREAM, NY 11580-7011
(347) 404-3020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211668
TX
Other
Enumeration date
07/20/2012
Last updated
07/20/2012
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