Individual
MR. VOTHVINICK JAMILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
83 DOGWOOD DR, STATEN ISLAND, NY 10312-1609
(718) 419-0690
Mailing address
83 DOGWOOD DR, STATEN ISLAND, NY 10312-1609
(718) 419-0690
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013688
NY
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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