Individual
GISELLE LUISTRO BOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 PURITAN AVE, BRONX, NY 10461-5923
(347) 293-7186
Mailing address
1310 PURITAN AVE, BRONX, NY 10461-5923
(347) 293-7186
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010182-1
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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