Individual
RACHAEL AVERY BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1909 LONGFELLOW AVENUE, THE BRONX, NY 10460
(347) 497-3998
Mailing address
37 MOUNTAIN LAKES DR, WANAQUE, NJ 07465-1016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10593-01
NY
Other
Enumeration date
12/11/2020
Last updated
12/11/2020
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