Individual
VIVIAN MIKHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23 DON CT, STATEN ISLAND, NY 10312-1573
(929) 281-5252
Mailing address
23 DON CT, STATEN ISLAND, NY 10312-1573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011736
NY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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