Individual
ATARA LEAH ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1434 E 19TH ST, BROOKLYN, NY 11230-6716
(240) 454-2690
Mailing address
715 EASTERN PKWY APT 4, BROOKLYN, NY 11213-3463
(240) 454-2690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023190
NY
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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