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Individual

DELORES JAMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
24412 135TH AVE, ROSEDALE, NY 11422-1604
(917) 406-4334
Mailing address
145 HOOK CREEK BLVD, VALLEY STREAM, NY 11581-2299
(917) 406-4334

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004196-1
NY
224Z00000X
Occupational Therapy Assistant

Other

Enumeration date
10/03/2016
Last updated
10/03/2016
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