Individual
MRS. LISA A ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21 BURD ST, NYACK, NY 10960-3205
(845) 353-2350
Mailing address
34 HILLTOP RD, CONGERS, NY 10920-2003
(845) 267-8826
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005591-1
NY
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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