Individual
JESSICA OBAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5 SUNSET AVE, WHEATLEY HEIGHTS, NY 11798-1408
(631) 748-4677
Mailing address
5 SUNSET AVE, WHEATLEY HEIGHTS, NY 11798-1408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
8197
NY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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