Individual
FREDA SAJOUS JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(516) 295-0013
Mailing address
6 CLOVERFIELD RD N, VALLEY STREAM, NY 11581-2404
(516) 295-0013
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
004891-1
NY
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
Primary
004891-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004891-1
LICENSE
NY
Enumeration date
04/28/2011
Last updated
04/28/2011
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