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Individual

MS. CINDY TAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6445 BOOTH ST APT 301, REGO PARK, NY 11374-4008
(646) 575-7637
Mailing address
6445 BOOTH ST APT 301, REGO PARK, NY 11374-4008
(646) 575-7637

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025524
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025524
NEW YORK STATE EDUCATION DEPARTMENT
NY
Enumeration date
04/05/2021
Last updated
04/05/2021
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