Individual
MS. LOKEISHA Y TABANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
380 WASHINGTON AVE, ROOSEVELT, NY 11575-1845
(516) 378-2000
Mailing address
9461 BRANDYWINE LN, PORT SAINT LUCIE, FL 34986-3307
(772) 429-3600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006525
NY
225X00000X
Occupational Therapist
OT26011
FL
Other
Enumeration date
01/27/2010
Last updated
05/01/2025
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