Individual
CARMINDA LUZ ARANA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
319 BROADWAY, PORT JEFFERSON STATION, NY 11776-2540
(516) 304-0987
Mailing address
319 BROADWAY, PORT JEFFERSON STATION, NY 11776-2540
(516) 304-0987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006857-1
NY
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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