Individual
CHRISTINE POMMERENK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
80 MAPLE PKWY, STATEN ISLAND, NY 10303-2419
(718) 442-0433
Mailing address
80 MAPLE PKWY, STATEN ISLAND, NY 10303-2419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007654
NY
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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