Individual
DESIREE SOFALVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1399 OGDEN AVE, BRONX, NY 10452-2306
(718) 293-9196
Mailing address
122 AYERS CT APT 3B, TEANECK, NJ 07666-5128
(551) 404-1106
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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