Individual
VIVIAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5805 7TH AVE, BROOKLYN, NY 11220-3964
(718) 439-8816
Mailing address
5805 7TH AVE, BROOKLYN, NY 11220-3964
(718) 439-8816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0423425
NY
Other
Enumeration date
03/05/2019
Last updated
03/05/2019
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