Individual
NEVA MATIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
506 WARREN ST, BROOKLYN, NY 11217-3478
(814) 706-7408
Mailing address
506 WARREN ST APT 2B, BROOKLYN, NY 11217-3487
(814) 706-7408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC014224
PA
225XP0200X
Pediatric Occupational Therapist
Primary
028119
NY
225XP0200X
Pediatric Occupational Therapist
OT18780
CA
Other
Enumeration date
12/28/2015
Last updated
08/31/2023
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