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Individual

MS. TAKEEMA I JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
43 CLARIDGE AVE FL 2, ELMONT, NY 11003-1556
(516) 502-2144
Mailing address
1119 MCCLELLAN ST APT 2, SCHENECTADY, NY 12309-5627
(518) 772-9590

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009181
NY

Other

Enumeration date
03/03/2020
Last updated
03/03/2020
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