Individual
MRS. MARIE PHILEMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
100-11 205TH PLACE, 2ND FLOOR, HOLLIS, NY 11423
(718) 496-4324
Mailing address
100-11 205TH PLACE, 2ND FLOOR, HOLLIS, NY 11423
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007823-1
NY
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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