Individual
MRS. ELOUISE M MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ORT/L
Contact information
Practice address
350 E 146TH ST, BRONX, NY 10451-5702
(718) 585-0600
Mailing address
350 E 146TH ST, BRONX, NY 10451-5702
(718) 585-0600
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012708-1
NY
Other
Enumeration date
11/14/2008
Last updated
11/14/2008
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