IndividualActive
Luise Ira Mamba, CTRS
NPI 1851959233 · Recreation Therapist · Amityville, NY
Provider details
- NPI number
- 1851959233
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- No
- License
- 70325
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
400 Sunrise Hwy
Amityville, NY 11701-2508
Phone: (631) 608-5433
Approximate (ZIP-level) locationGet directions
Mailing address
400 Sunrise Hwy
Amityville, NY 11701-2508
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.