Individual
MRS. CLAUDIA K VILLACRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
4019 24TH ST, LONG ISLAND CITY, NY 11101-3911
(917) 361-0500
Mailing address
4019 24TH ST, LONG ISLAND CITY, NY 11101-3911
(917) 361-0500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008234-1
NY
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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