Individual
MS. MARIA GRACE MARDAREWICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
54 SURREY RD, NEW HYDE PARK, NY 11040-2036
(516) 330-8420
Mailing address
54 SURREY RD, NEW HYDE PARK, NY 11040-2036
(516) 330-8420
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
019122
NY
225XP0200X
Pediatric Occupational Therapist
Primary
019122
NY
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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