Individual
REBECCA KAE GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
144 KEATING PL, STATEN ISLAND, NY 10314-6145
(718) 698-6661
Mailing address
1030 GREACEN POINT RD, MAMARONECK, NY 10543-4609
(914) 672-9406
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017-117
NY
Other
Enumeration date
04/12/2012
Last updated
01/19/2023
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