Individual
MRS. ALINE ROSETTE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
861 E 242ND ST, BRONX, NY 10470-1214
(347) 613-0919
(718) 994-3646
Mailing address
861 E 242ND ST, BRONX, NY 10470-1214
(347) 613-0919
(718) 994-3646
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
011261
NY
Other
Enumeration date
05/09/2009
Last updated
05/09/2009
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