Individual
VICTORIA USOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
43 PERRY AVE, STATEN ISLAND, NY 10314-4001
(914) 806-3750
Mailing address
43 PERRY AVE, STATEN ISLAND, NY 10314-4001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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