Individual
REBECCA E LINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2975 WESTCHESTER AVE STE 202, PURCHASE, NY 10577-2500
(914) 305-5345
Mailing address
14 DAISY DR, MAHOPAC, NY 10541-4105
(914) 400-6594
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010857
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010857
—
NY
Enumeration date
09/09/2021
Last updated
09/09/2021
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