Individual
FATIMAH GRACE VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(347) 949-0436
Mailing address
7000 AUSTIN ST, SUITE 200, FOREST HILLS, NY 11375-1022
(347) 949-0436
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008369
NY
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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