Individual
SUSAN J OLMSTEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R./L
Contact information
Practice address
8230 138TH ST, APARTMENT 1M, JAMAICA, NY 11435-1481
(516) 641-3262
Mailing address
82-30 138TH STREET, APARTMENT 1M, JAMAICA, NY 11435-1483
(516) 641-3262
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
006861-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
006861-1
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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