Charles Alfred, NYS . OTA Valid NPI

Individual provider · Occupational Therapy Assistant · Glen Cove, NY

NPI

1124170923

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

006539 (NY)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-01-18

Last updated

2016-10-12