Individual
ALLISON ROSE ESTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4624 BROADWAY, NEW YORK, NY 10040-2102
(212) 569-1044
Mailing address
13 ELM CT, WALDWICK, NJ 07463-1004
(201) 414-1650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009523-1
NY
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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