Individual
MS. CHAVIVA WAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
7125 MAIN ST, FLUSHING, NY 11367-2014
(718) 261-0211
Mailing address
7125 MAIN ST, FLUSHING, NY 11367-2014
(718) 261-0211
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015299-1
NY
Other
Enumeration date
10/03/2011
Last updated
12/07/2011
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