Most Relevant Information
Provider Data
| NPI Number: | 1003050170 |
| Provider Name: | JOVELYN SISON MORADA OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 012675 |
Most Important Dates
| Enumeration Date: | 04/21/2009 |
| Last Updated: | 04/21/2009 |
Provider Practice Location
18508 UNION TPKE
SUITE 105
FRESH MEADOWS
NY
113661700
Practice Location Phone/Fax
| Phone: | 7182647250 |
| Fax: | 7182647922 |
Provider Mailing Location
5318 90TH ST
APT 3R
ELMHURST
NY
113738711
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |