Individual
MISS CHELSEA REMAH GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, SUITE LL 105/108, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
118 N 16TH ST, POTTSVILLE, PA 17901-2112
(570) 640-4325
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020796
NY
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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