Individual
MRS. HOLLY ANN ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
420 64TH ST, APARTMENT 8H, BROOKLYN, NY 11220-4900
(917) 660-1909
Mailing address
420 64 STREET, APARTMENT 8H, BROOKLYN, NY 11220
(917) 660-1909
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008409
NY
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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