Individual
MRS. LISA M CHELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 570-4480
Mailing address
3323 200TH ST, BAYSIDE, NY 11361-1135
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013418-1
NY
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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