Individual
SIGRID CAROL WENTZENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.A.
Contact information
Practice address
4339 164TH ST, 1ST FLOOR, FLUSHING, NY 11358-3252
(347) 737-7179
Mailing address
4339 164TH ST, 1ST FLOOR, FLUSHING, NY 11358-3252
(347) 737-7179
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
005998-1
NY
224Z00000X
Occupational Therapy Assistant
Primary
005998-1
NY
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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