Individual
JESSICA CABALLERO BERNARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2213 YOUNG AVE, BRONX, NY 10469-5828
(718) 881-6606
(646) 764-0128
Mailing address
2213 YOUNG AVE, BRONX, NY 10469-5828
16467640128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009401-1
NY
Other
Enumeration date
09/12/2017
Last updated
03/17/2018
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