Individual
TINA WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1186 KING ST, RYE BROOK, NY 10573-1069
(914) 946-4781
(914) 946-0117
Mailing address
1186 KING ST, RYE BROOK, NY 10573-1069
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003662
NY
Other
Enumeration date
08/03/2010
Last updated
08/03/2010
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