Individual
MOZAL MICHELLE TOLMASOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
685 PARK LN, CEDARHURST, NY 11516-1026
(646) 460-5148
Mailing address
685 PARK LN, CEDARHURST, NY 11516-1026
(646) 460-5148
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
64008893
NY
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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