Individual
ALEJANDRA ALEJANDRA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
1314 5TH AVE, UNIT 1325, BAY SHORE, NY 11706
(516) 768-8181
Mailing address
1314 5TH AVE, UNIT 1325, BAY SHORE, NY 11706
(516) 768-8181
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017942
NY
Other
Enumeration date
05/07/2013
Last updated
12/27/2018
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