Individual
CHAYA MIREL FRUCHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2 MARTINO WAY, POMONA, NY 10970-2648
(845) 283-3011
Mailing address
2 MARTINO WAY, POMONA, NY 10970-2648
(845) 283-3011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022018
NY
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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