Individual
BERNARDITA JESHAE ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9115 92ND ST, WOODHAVEN, NY 11421-3004
(407) 860-2620
Mailing address
925 S SEMORAN BLVD, WINTER PARK, FL 32792-5313
(407) 860-2620
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007467
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007467
COTA
NY
Enumeration date
08/31/2018
Last updated
08/31/2018
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