Individual
MIROSLAVA MONTESDEOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4487 3RD AVE, BRONX, NY 10457-1526
(718) 960-6173
(718) 960-3683
Mailing address
4487 3RD AVE, BRONX, NY 10457-1526
(718) 960-6173
(718) 960-3683
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
013758
NY
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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