Individual
ANGELA MARIA DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.OTR/L
Contact information
Practice address
85 BLOOMINGROVE DR, TROY, NY 12180-8433
(518) 283-2000
Mailing address
4 ROBERTS RD, WATERFORD, NY 12188-1413
(518) 505-1043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02466-01
NY
Other
Enumeration date
11/21/2021
Last updated
11/21/2021
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