Individual
MS. SARAH IBARDOLAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1324 EDWARDS AVE, BRONX, NY 10461-5805
(646) 942-7771
Mailing address
1324 EDWARDS AVE, BRONX, NY 10461-5805
(718) 684-2904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
012408
NY
225XP0200X
Pediatric Occupational Therapist
Primary
012408
NY
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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