Individual
MRS. GLENICE ABIGAIL OPATOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
7 SHORE RD, DOUGLASTON, NY 11363-1226
(718) 229-0731
(718) 229-0731
Mailing address
7 SHORE RD, DOUGLASTON, NY 11363-1226
(718) 229-0731
(718) 229-0731
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000906-1
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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