Individual
MR. ROBERT MONTAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
959 PARK PL, 5E, BROOKLYN, NY 11213-1853
(347) 262-2088
Mailing address
959 PARK PLACE, 5E, BROOKLYN, NY 11213
(347) 262-2088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
03359
NY
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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