Individual
MS. ELISE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2735 HENRY HUDSON PKWY W, SUITE 102, BRONX, NY 10463-4701
(718) 601-7400
Mailing address
127 BROAD AVE, LEONIA, NJ 07605-2030
(718) 601-7400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
006762-1
NY
225X00000X
Occupational Therapist
TR 01568
NJ
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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