Individual
JOEL MAUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 E 29TH ST, 2ND FL, NEW YORK, NY 10016-7918
(212) 679-4319
Mailing address
130 SHORE RD # 109, PORT WASHINGTON, NY 11050-2205
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011425-1
NY
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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