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Individual

EDWARD M ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
609 W 173RD ST APT 4F, NEW YORK, NY 10032-1652
(917) 415-6357
Mailing address
609 W 173RD ST APT 4F, NEW YORK, NY 10032-1652
(917) 415-6357

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014782
NY
225XE0001X
Environmental Modification Occupational Therapist
014782
NY
225XN1300X
Neurorehabilitation Occupational Therapist
014782
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
014782
NY
225XP0200X
Pediatric Occupational Therapist
014782
NY

Other

Enumeration date
08/31/2011
Last updated
08/31/2011
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