Individual
LEORA STAIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 W 92ND STREET, SUIT #BB, NEW YORK, NY 10025
(212) 595-1705
Mailing address
103 EDGEMONT PLACE, TEANECK, NJ 07666
(201) 214-9994
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0173255-1
NY
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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