Individual
ELISHA OMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
249 PEOPLES WAY, HOCKESSIN, DE 19707-1908
(302) 743-1495
Mailing address
249 PEOPLES WAY, HOCKESSIN, DE 19707-1908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018847
NY
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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