Individual
ROBERTO ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008067
NY
225XP0200X
Pediatric Occupational Therapist
018987-1
NY
Other
Enumeration date
04/30/2012
Last updated
08/26/2014
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