Individual
ALEXANDRA ARISTIZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7252 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2100
(718) 326-0055
Mailing address
4619 70TH ST, WOODSIDE, NY 11377-6015
(718) 909-2678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0035551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005223
NBCOT
NY
Enumeration date
10/19/2011
Last updated
10/19/2011
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