Individual
ANDREA KATHRYN DOUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
962 MANOR RD, STATEN ISLAND, NY 10314
(718) 982-5944
Mailing address
55 HILLSIDE DR, TOTOWA, NJ 07512-1905
(973) 570-2990
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022645
NY
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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