Individual
ZAIREE GOMEZ MOGOLLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
49 MONTROSE AVE, BROOKLYN, NY 11206-2580
(718) 473-3808
Mailing address
45 LIZETTE ST FL 2, GARFIELD, NJ 07026-3807
(201) 757-9885
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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