Individual
GISELLE ENID CANALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
101 NORFOLK ST, NEW YORK, NY 10002-3301
(212) 566-8856
Mailing address
710 RIVERSIDE DR, APT 2C, NEW YORK, NY 10031-3118
(718) 825-3491
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017959
NY
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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