Individual
AIYSHA SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2021 SEAGIRT BLVD APT 5G, FAR ROCKAWAY, NY 11691-2903
(347) 693-1224
Mailing address
2021 SEAGIRT BLVD APT 5G, FAR ROCKAWAY, NY 11691-2903
(347) 693-1224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014769
NY
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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