Individual
MONIQUE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1401 AVENUE I, BROOKLYN, NY 11230-3003
(718) 377-7507
Mailing address
235 MONTROSE AVE APT 4, BROOKLYN, NY 11206-2840
(786) 457-5037
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011223-01
NY
Other
Enumeration date
01/09/2023
Last updated
01/09/2023
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