Individual
LAURA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
672 PARKSIDE AVE FL 4, BROOKLYN, NY 11226-2298
(718) 282-7800
Mailing address
15109 34TH AVE APT 3B, FLUSHING, NY 11354-3913
(646) 961-1638
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
025701-01
NY
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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