Individual
JANICE REBECCA MIZRAHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1235 AVENUE V, BROOKLYN, NY 11229-4149
(917) 623-3355
Mailing address
1235 AVENUE V, BROOKLYN, NY 11229-4149
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
023525
NY
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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