Individual
TANIA MARIBEL PUCHUELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
818 CLARENCE AVE, BRONX, NY 10465-1606
(718) 459-1252
Mailing address
3462 111TH ST # 2, CORONA, NY 11368-1324
(347) 658-6008
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
025791-01
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
025791-01
NY
225XP0200X
Pediatric Occupational Therapist
Primary
025791-01
NY
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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