| NPI | 1245691732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINHEE EZER PARK Ms Otr/L 718-633-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014806-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00624700) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-04-11 |