Individual
GELLA MATATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10218 62ND AVE, FOREST HILLS, NY 11375-1042
(718) 896-8162
Mailing address
102-18 62ND AVE, FOREST HILLS, NY 11375-1042
(718) 810-3219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019138-1
NY
Other
Enumeration date
06/12/2009
Last updated
11/20/2015
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