Individual
RADWA M ALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1966 78TH ST, EAST ELMHURST, NY 11370-1308
(917) 796-0306
Mailing address
1966 78TH ST, EAST ELMHURST, NY 11370-1308
(917) 796-0306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011148
NY
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
07/22/2022
Last updated
08/06/2022
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