Individual
JOSE ALEX AREVALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPY
Contact information
Practice address
657 STEWART AVE, BETHPAGE, NY 11714-2712
(516) 507-8126
Mailing address
657 STEWART AVE, BETHPAGE, NY 11714-2712
(516) 507-8126
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
021026
NY
225XP0200X
Pediatric Occupational Therapist
Primary
021026
NY
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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