Individual
MRS. CANDACE THERESE MEZETIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
9745 QUEENS BLVD STE 900, REGO PARK, NY 11374-2108
(718) 830-9274
(718) 830-9276
Mailing address
10826 173RD ST, JAMAICA, NY 11433-3034
(347) 724-0439
(718) 657-2606
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
014886
NY
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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