Individual
NATALY MARIA QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
101 STAGE RD, MONROE, NY 10950-3512
(845) 827-6227
Mailing address
101 STAGE RD, MONROE, NY 10950-3512
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009018-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
S&J ASSOCIATES
NY
Enumeration date
11/04/2018
Last updated
11/04/2018
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