Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Luise Ira Mamba, CTRS

Individual provider Recreation Therapist · NPI 1851959233

Luise Ira Mamba, CTRS is a Recreation Therapist in Amityville, New York. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

400 Sunrise Hwy
Amityville, NY 11701-2508
Phone: (631) 608-5433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 70325

Record details

NPI number1851959233
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMay 31, 2019
Last updated in NPPESMay 31, 2019

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