Individual
HANTZ MAXIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
20 PEACHTREE CT, STE 105, HOLBROOK, NY 11741-4616
(631) 467-3700
(631) 467-0928
Mailing address
25312 147TH DR, ROSEDALE, NY 11422-2824
(718) 527-7281
(631) 467-0928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014024-1
NY
Other
Enumeration date
07/01/2006
Last updated
07/08/2007
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