Individual
TANESIA RACQUEL FRANCIS-BOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7000 AUSTIN ST, FOREST HILLS, NY 11375-1022
(718) 974-2135
Mailing address
665 E 222ND ST, BRONX, NY 10467-5113
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
0085519-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
008519
NY
224Z00000X
Occupational Therapy Assistant
46TA09122800
NJ
Other
Enumeration date
07/14/2015
Last updated
09/02/2020
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