Individual
CECILE KENICIA LOUIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
523 MAPLE AVE, UNIONDALE, NY 11553-2133
(151) 638-5221
Mailing address
523 MAPLE AVE, UNIONDALE, NY 11553-2133
(151) 638-5221
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003114-1
NY
Other
Enumeration date
06/27/2007
Last updated
07/08/2007
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