Provider Demographics
NPI:1154576015
Name:LLUEN, GLORIA (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:
Last Name:LLUEN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13510 GRAND CENTRAL PKWY
Mailing Address - Street 2:APARTMENT 606
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-1051
Mailing Address - Country:US
Mailing Address - Phone:347-853-9400
Mailing Address - Fax:
Practice Address - Street 1:13510 GRAND CENTRAL PKWY
Practice Address - Street 2:APARTMENT 606
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-1051
Practice Address - Country:US
Practice Address - Phone:347-853-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2009-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006334225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist