Individual
MRS. JENNIFER ALTIDOR- SANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-2782
Mailing address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-2782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008638
NY
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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