Individual
MS. THERESA J MATCHEKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1913 CROYDON DR, BELLMORE, NY 11710-3053
(516) 647-2659
Mailing address
1913 CROYDON DR, BELLMORE, NY 11710-3053
(516) 647-2659
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
012413-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
012413-1
NY
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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