Individual
MR. DAOUD IKHLAS MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSOT, OTR/L
Contact information
Practice address
20613 104TH AVE, QUEENS VILLAGE, NY 11429-1024
(347) 458-1428
Mailing address
20613 104TH AVE, QUEENS VILLAGE, NY 11429-1024
(347) 458-1428
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024654
NY
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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