Individual
FRITZ ST FLEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9328 208TH ST, QUEENS VILLAGE, NY 11428-1061
(917) 376-5935
Mailing address
9328 208TH ST, QUEENS VILLAGE, NY 11428-1061
(917) 376-5935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0142561
NY
225X00000X
Occupational Therapist
OT14103
FL
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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