Individual
MS. ASSATA AYANA LUMUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
535 E 119TH STREET, NEW YORK, NY 10035
(212) 860-5868
Mailing address
2520 WEBB AVE APT 56, BRONX, NY 10468-3963
(347) 297-6764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0147101
NY
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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