Individual
MRS. SANDRA BETH REIS-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
140 W END AVE APT 1G, NEW YORK, NY 10023-6149
(917) 596-7912
Mailing address
37 KILMER RD, LARCHMONT, NY 10538-2608
(917) 596-7912
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007229
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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