(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003555004
Provider Name: JARED VICTOR VIRELLA COTA/L
Entity Type: Individual
Taxonomy Code: 224Z00000X
Specialty: Occupational Therapy Assistant
License Number: 011108
Most Important Dates
Enumeration Date: 05/31/2022
Last Updated: 05/31/2022
Provider Practice Location
49 MONTROSE AVE
BROOKLYN
NY
112062580
Practice Location Phone/Fax
Phone: 7184733808
Fax:
Provider Mailing Location
511 W 232ND ST APT E43
BRONX
NY
104633561
Provider Mailing Phone/Fax
Phone: 6462218750
Fax: