Most Relevant Information
Provider Data
| NPI Number: | 1003061102 |
| Provider Name: | CRISELDA JOSE OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 012574-1 |
Most Important Dates
| Enumeration Date: | 11/18/2008 |
| Last Updated: | 03/14/2013 |
Provider Practice Location
1780 DR MARTIN LUTHER KING JR BLVD
BRONX
NY
10453
Practice Location Phone/Fax
| Phone: | 7189604400 |
| Fax: |
Provider Mailing Location
28 CASTLETON DR
HIGHLAND MILLS
NY
109308316
Provider Mailing Phone/Fax
| Phone: | 8458276154 |
| Fax: |