Individual
MONA MALLEMAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L MPH
Contact information
Practice address
3228 BELL BLVD, BAYSIDE, NY 11361-1059
(917) 309-3622
Mailing address
3228 BELL BLVD, BAYSIDE, NY 11361-1059
(917) 309-3622
Taxonomy
Speciality
Code
Description
License number
State
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
013010-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
013010-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
013010-1
NY
Other
Enumeration date
04/04/2010
Last updated
04/04/2010
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