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Individual

CHARLES JEAN-PAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
11416 126TH ST, SOUTH OZONE PARK, NY 11420-2124
(347) 610-0980
Mailing address
11416 126TH ST, SOUTH OZONE PARK, NY 11420-2124
(347) 610-0980

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016779-1
NY

Other

Enumeration date
05/15/2014
Last updated
05/15/2014
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