Individual
COLLEEN MARY KERRISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
5901 PALISADE AVE, BRONX, NY 10471-1205
(718) 581-1352
Mailing address
6020 LIEBIG AVE, BRONX, NY 10471-1809
(203) 984-7488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023197
NY
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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