Individual
ANNETTE CONSUEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1031 TRINITY AVE, BRONX, NY 10456-6949
(646) 648-8593
Mailing address
1031 TRINITY AVE, BRONX, NY 10456-6949
(646) 648-8593
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
007436-1
NY
225X00000X
Occupational Therapist
Primary
020916
NY
Other
Enumeration date
07/28/2010
Last updated
09/16/2016
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