Individual
MRS. IVY TILSON-RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 PARCOT AVE, NEW ROCHELLE, NY 10801-1210
(516) 304-6982
Mailing address
41 PARCOT AVE, NEW ROCHELLE, NY 10801-1210
(516) 304-6982
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0098021
NY
Other
Enumeration date
02/10/2009
Last updated
02/10/2009
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