Mozal Michelle Tolmasov, COTA/L
Occupational Therapy Assistant in Cedarhurst, NY. Individual provider (NPI-1).
NPI number1679933824
StatusActive
Last updated in NPPESMar 1, 2016
Details
- NPI
- 1679933824
- Entity type
- Individual (NPI-1)
- Name
- Mozal Michelle Tolmasov
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 1, 2016
- Last updated
- Mar 1, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 64008893 | NY | Yes |
Practice location
685 Park LnCedarhurst, NY 11516-1026
Phone 646-460-5148
Mailing address
685 Park LnCedarhurst, NY 11516-1026
Phone 646-460-5148
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