Individual
DR. ROCHELLE JILLIAN MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L
Contact information
Practice address
617 W 168TH ST RM 312, NEW YORK, NY 10032-3925
(414) 412-1280
Mailing address
2100 LINWOOD AVE APT 16T, FORT LEE, NJ 07024-3160
(414) 412-1280
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
025635
NY
225XE0001X
Environmental Modification Occupational Therapist
025635
NY
225XE1200X
Ergonomics Occupational Therapist
025635
NY
225XG0600X
Gerontology Occupational Therapist
025635
NY
225XH1300X
Human Factors Occupational Therapist
025635
NY
225XN1300X
Neurorehabilitation Occupational Therapist
025635
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M25166607155801
DMV
NJ
Enumeration date
05/13/2021
Last updated
05/13/2021
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