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Individual

MRS. VICKY A ZOUZIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200
Mailing address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 291-0200

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006908-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
224Z00000X
NY
Enumeration date
12/23/2011
Last updated
12/23/2011
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