Individual
MS. ELISSA ROBIN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
(212) 473-0011
Mailing address
611 BROADWAY, #908, NEW YORK, NY 10012-2608
(212) 473-0011
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016917-1
NY
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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