Individual
MS. JESSICA ISAAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
666 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2717
(914) 589-9209
Mailing address
666 SIERRA VISTA LN, VALLEY COTTAGE, NY 10989-2717
(914) 589-9209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005942-1
NY
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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