Individual
RENATA M VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED OTA
Contact information
Practice address
5355 HENRY HUDSON PKWY W, SUITE 2F, BRONX, NY 10471-2830
(646) 918-0039
Mailing address
5355 HENRY HUDSON PKWY W, SUITE 2F, BRONX, NY 10471-2830
(646) 918-0039
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008501-1
NY
224Z00000X
Occupational Therapy Assistant
OTA 14945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008501
NEW YORK STATE DEPARTMENT OF EDUCATION
NY
01
—
OTA 14945
FLORIDA STATE DEPARTMENT OF HEALTH
FL
Enumeration date
04/12/2015
Last updated
12/13/2015
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