Individual
ATARA JOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
655 W 254TH ST, BRONX, NY 10471-1247
(718) 549-1717
Mailing address
3720 INDEPENDENCE AVE, APT 6A, BRONX, NY 10463-1429
(646) 220-5059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018651
NY
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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