Individual
MISS CHRISTINA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1595-42 NORTH CENTRAL AVENUE, VALLEY STREAM, NY 11580
(516) 668-4249
Mailing address
1595 N CENTRAL AVE APT 42, VALLEY STREAM, NY 11580-1186
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025567-01
NY
Other
Enumeration date
06/07/2017
Last updated
04/01/2024
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