Individual
GLORILYN MONTESA CORPUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6136 64TH ST, MIDDLE VILLAGE, NY 11379-1023
(646) 552-8325
Mailing address
6136 64TH ST, MIDDLE VILLAGE, NY 11379-1023
(646) 552-8325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009256-1
NY
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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