Individual
ASHA MOONJELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1800 ANDREWS AVE, BRONX, NY 10453-5202
(718) 299-4764
Mailing address
1800 ANDREWS AVE, BRONX, NY 10453-5202
(718) 299-4764
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021021-1
NY
225X00000X
Occupational Therapist
119342
TX
Other
Enumeration date
12/14/2016
Last updated
09/18/2018
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