Individual
KELLY PASKOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8453 249TH ST, BELLEROSE, NY 11426-2103
(917) 226-7382
Mailing address
8453 249TH ST, BELLEROSE, NY 11426-2103
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
018766
NY
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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