Individual
ANDRELISA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
60 W 190TH ST APT 2F, BRONX, NY 10468-5217
(646) 244-5007
Mailing address
60 W 190TH ST APT 2F, BRONX, NY 10468-5217
(646) 244-5007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008220
NY
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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