Individual
MELISSA SOBREVEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAOT, OTR/L
Contact information
Practice address
8746 20TH AVE, BROOKLYN, NY 11214-4802
(718) 238-7451
(718) 238-2765
Mailing address
180 MYRTLE AVE APT 14S, BROOKLYN, NY 11201-7080
(718) 607-7927
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
025630
NY
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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