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Kenneth Wachstock, MA, OTR/L

NPI 1295976231 · on the registry since 2009 · sole proprietor

Practice

Address
19614 Pompeii Ave
Hollis, NY 11423
Phone
(718) 464-0709
Clinicians at this address
2

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Also registered as
225X00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-03-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York