Individual
NAKAYAH CARRISSA ESTWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
18022 UNION TPKE, FRESH MEADOWS, NY 11366-1620
(718) 380-8300
Mailing address
12719 160TH ST, JAMAICA, NY 11434-2847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011717-01
NY
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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