Individual
DEBORAH WAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, ATR-BC, LCAT
Contact information
Practice address
14439 GRAVETT RD, FLUSHING, NY 11367-1304
(718) 935-4000
Mailing address
14439 GRAVETT RD, FLUSHING, NY 11367-1304
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
1388
NY
225X00000X
Occupational Therapist
Primary
20654
NY
Other
Enumeration date
10/11/2012
Last updated
08/15/2024
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