Individual
MRS. CRISELDA JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1780 DR MARTIN LUTHER KING JR BLVD, BRONX, NY 10453
(718) 960-4400
Mailing address
28 CASTLETON DR, HIGHLAND MILLS, NY 10930-8316
(845) 827-6154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012574-1
NY
Other
Enumeration date
11/18/2008
Last updated
03/14/2013
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