Individual
LEAH SHOSHANA HOMNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
473 FDR DR, NEW YORK, NY 10002-2024
(212) 475-2000
Mailing address
457 FDR DR APT A301, NEW YORK, NY 10002-3954
(917) 554-1459
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010999
IL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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