Individual
MAYRA ALEJANDRA MANZANARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 VAILS GATE HEIGHTS DR # 2, NEW WINDSOR, NY 12553-8515
(845) 591-0186
Mailing address
67 VAILS GATE HEIGHTS DR # 2, NEW WINDSOR, NY 12553-8515
(845) 591-0186
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010520-01
NY
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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