Individual
MOHAMED ASHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
122 CEDAR AVE, STATEN ISLAND, NY 10305-4533
(646) 659-4716
Mailing address
122 CEDAR AVE, STATEN ISLAND, NY 10305-4533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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