Individual
DJENANE KARL-OTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2801 3RD PL, BALDWIN, NY 11510-4042
(516) 668-5937
Mailing address
2801 3RD PL, BALDWIN, NY 11510-4042
(516) 668-5937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64-004276
NY
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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