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Individual

MR. CONRAD RICHARD SIPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
142 E 16TH ST, APT 4B, NEW YORK, NY 10003-3506
(347) 414-4917
Mailing address
142 E 16TH ST, APT 4B, NEW YORK, NY 10003-3506
(347) 414-4917

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009993-1
NY
225XG0600X
Gerontology Occupational Therapist
009993
NY
225XN1300X
Neurorehabilitation Occupational Therapist
009993-1
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
009993-1
NY
225XP0200X
Pediatric Occupational Therapist
009993-1
NY

Other

Enumeration date
09/12/2010
Last updated
10/25/2010
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