Individual
LEAH MATAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
71-44 YELLOWSTONE BLVD, REHAB DEPARTMENT, FOREST HILSS, NY 11375
(718) 544-4300
Mailing address
65-10 99 ST APT 5E, REGO PARK, NY 11374
(646) 348-0654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006635-1
NY
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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