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Individual

MRS. ELSA ROUSSOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
511 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2737
(516) 565-0388
(516) 565-2782
Mailing address
99 CEDARHURST AVE, WOODLAND PARK, NJ 07424-3004
(347) 699-4031

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022441
NY

Other

Enumeration date
04/07/2018
Last updated
04/07/2018
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