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Individual

NICOLE M VICTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
42-77 65TH PLACE, KIDS TIME THERAPIES, WOODSIDE, NY 11377
(718) 429-2000
(718) 429-0057
Mailing address
4155 KINGS HWY APT 4J, BROOKLYN, NY 11234-2042
(718) 338-2335

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008642-1
NY

Other

Enumeration date
02/05/2016
Last updated
02/05/2016
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