Individual
MS. MARIAMMA JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
29-01 216TH STREET, BAYSIDE, NY 11360
(718) 280-8800
(718) 281-8505
Mailing address
29-01 216TH STREET, BAYSIDE, NY 11360
(718) 280-8800
(718) 281-8505
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015280-01
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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