Individual
ANGELIQUE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
118 SAINT NICHOLAS AVE, BROOKLYN, NY 11237-3491
(718) 552-2991
Mailing address
1175 LIBERTY AVE, UNION, NJ 07083-4822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011375
NY
Other
Enumeration date
10/04/2023
Last updated
10/13/2023
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