Individual
ANGELICA L DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
365 BRONX RIVER RD, YONKERS, NY 10704-3445
(646) 269-2463
Mailing address
365 BRONX RIVER RD APT 7M, YONKERS, NY 10704-3464
(646) 269-2463
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009308-1
NY
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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