Individual
MS. ANGELA M PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
329 NORWAY AVE, STATEN ISLAND, NY 10305-3524
(718) 987-9400
Mailing address
459 NAUGHTON AVE, STATEN ISLAND, NY 10305-2226
(718) 980-4807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000575-1
NY
Other
Enumeration date
10/21/2008
Last updated
05/04/2011
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