Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA GOLDIS WACHSTOCK, MA, OTR/L
Active Sole ProprietorMIRA GOLDIS WACHSTOCK, MA, OTR/L is a Pediatric Occupational Therapist healthcare provider located in HOLLIS, New York. NPI 1881834810 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · HOLLIS, NY
Registration Details
- NPI Number
- 1881834810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2009 (17.408367490311 yrs)
- Last Updated
- Mar 4, 2009
- License
-
010633-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19614 POMPEII AVEHOLLIS, NY, 114231418Browse NY providers · Browse ZIP 11423
- Phone
- 7184640709
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in HOLLIS, NY
| Name | Credential | NPI |
|---|---|---|
| KENNETH WACHSTOCK | MA, OTR/L | 1295976231 |
| RUTH SALHOLZ MEYERS | OTR/L | 1811254642 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.