Individual
MS. REBECCA LYNN FISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 STUYVESANT OVAL, APARTMENT # 10C, NEW YORK, NY 10009-2122
(917) 553-4302
Mailing address
3 STUYVESANT OVAL, APARTMENT # 10C, NEW YORK, NY 10009-2122
(917) 553-4302
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017461-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017461-1
LICENSE NUMBER
NY
Enumeration date
06/25/2012
Last updated
07/18/2012
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