Individual
RENA KORNBERG WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7 RESERVOIR RD, N WHITE PLAINS, NY 10603-2522
(914) 948-7190
(914) 948-7491
Mailing address
7 RESERVOIR RD, N WHITE PLAINS, NY 10603-2522
(914) 948-7190
(914) 948-7491
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
6213459
NY
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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