Individual
FABIOLA MOISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11515 204TH ST, SAINT ALBANS, NY 11412-2818
(347) 595-2978
Mailing address
100 MARION ST, LYNBROOK, NY 11563-4248
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
027881
NY
225XP0200X
Pediatric Occupational Therapist
Primary
027881
NY
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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