Individual
MRS. TERESA ANN MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2435 169TH ST, WHITESTONE, NY 11357-4140
(718) 352-4330
Mailing address
2435 169TH ST, WHITESTONE, NY 11357-4140
(718) 352-4330
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
007969-1
NY
Other
Enumeration date
11/22/2008
Last updated
11/22/2008
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