Individual
CRISEL DIVINAGRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3151 STONY ST, MOHEGAN LAKE, NY 10547-1913
(914) 885-1995
Mailing address
9 ROSE RD, WEST NYACK, NY 10994-2115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027534
NY
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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