Individual
MRS. LYDIA ISAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21 BURO ST., NYACK, NY 10960
(845) 353-2350
Mailing address
103 EAST WILLOW TREE RD., WESLEY HILLS, NY 10977
(914) 329-5156
(845) 364-9064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002961-1
NY
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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