NPI 1851959233

Luise Ira Mamba, CTRS

Practitioner Recreation Therapist Amityville, NY

Practice location

Address: 400 Sunrise Hwy, Amityville, NY 11701-2508
Phone: (631) 608-5433

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 70325

Other Recreation Therapist providers in New York →

Registry record

NPI: 1851959233
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2019
Record last updated: 31 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.