Individual
MS. LAURETA SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 50TH AVE, APT 3806, LONG ISLAND CITY, NY 11101-6050
(917) 945-0060
Mailing address
150 50TH AVE, APT 3806, LONG ISLAND CITY, NY 11101-6050
(917) 945-0060
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NY
225XP0200X
Pediatric Occupational Therapist
Primary
016661
NY
Other
Enumeration date
04/14/2011
Last updated
06/30/2020
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