Individual
NICK LO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
151 E 67TH ST, NEW YORK, NY 10065-5964
(212) 988-9500
Mailing address
151 E 67TH ST, NEW YORK, NY 10065-5964
(212) 988-9500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
016478
NY
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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