Individual
MRS. JESSICA SAMARA HALPERT I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
9306 4TH AVE, BROOKLYN, NY 11209-7005
(718) 238-7451
Mailing address
9306 4TH AVE, BROOKLYN, NY 11209-7005
(718) 238-7451
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0013271-1
NY
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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