Individual
ELLIOT ENGELHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Contact information
Practice address
866 E TREMONT AVE, BRONX, NY 10460-4201
(718) 589-2200
Mailing address
866 E TREMONT AVE, BRONX, NY 10460-4201
(718) 589-2200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015085
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03195544
—
NY
Enumeration date
12/31/2008
Last updated
06/20/2012
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