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Individual

MRS. ALEXANDRA ANITA DE LA RUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
675 THIRD AVENUE, 5TH FLOOR, NEW YORK, NY 10017
(212) 922-1001
(212) 922-0033
Mailing address
1901 DORSET DRIVE, TARRYTOWN, NY 10591
(845) 689-4183

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024747
NY
225XP0200X
Pediatric Occupational Therapist
024747
NY

Other

Enumeration date
09/24/2020
Last updated
10/14/2020
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