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Individual

CARIDAD SIMON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10959 INWOOD ST, JAMAICA, NY 11435-5625
(718) 526-5523
(718) 526-8191
Mailing address
20615 100TH AVE, QUEENS VILLAGE, NY 11429-1016
(718) 465-6248

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011212-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1289432
NY
Enumeration date
03/19/2012
Last updated
03/19/2012
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