Individual
RANGIKA S JAYARATHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3230 70TH ST APT 6M, EAST ELMHURST, NY 11370-1737
(347) 459-3262
Mailing address
3230 70TH ST APT 6M, EAST ELMHURST, NY 11370-1737
(347) 459-3262
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007304
NY
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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