MORIAM SOETAN

BROOKLYN, NY
NPI1568242287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  OT210303)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WA  OT61454620)
Enumeration Date2023-10-02
Last Update Date2023-10-02
Business Address
MORIAM SOETAN
1369 BROADWAY UNIT 210536
BROOKLYN, NY 11221-8826
Phone number: 347-241-5299
Mailing Address
MORIAM SOETAN
1369 BROADWAY UNIT 210536
BROOKLYN, NY 11221-8826
Phone number: 347-241-5299