Individual
AIMEE BETH TARGOVNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2465 BATHGATE AVE, BRONX, NY 10458-5928
(718) 367-5917
Mailing address
35 W 92ND ST, APT. 9F, NEW YORK, NY 10025-7639
(917) 861-4212
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007336-1
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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