Joanna Monika Such, COTA
Occupational Therapist in Brooklyn, NY. Individual provider (NPI-1).
NPI number1295080554
StatusActive
Last updated in NPPESApr 4, 2023
Details
- NPI
- 1295080554
- Entity type
- Individual (NPI-1)
- Name
- Joanna Monika Such
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2012
- Certification date
- Apr 4, 2023
- Last updated
- Apr 4, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 025794-01 | NY | Yes |
| 224Z00000X | Occupational Therapy Assistant | 007464 | NY |
Practice location
483 Clermont AveBrooklyn, NY 11238-2253
Phone 718-643-5300
Mailing address
483 Clermont AveBrooklyn, NY 11238-2253
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