Most Relevant Information
Provider Data
| NPI Number: | 1003573395 |
| Provider Name: | ANGELA MARIA DEJESUS MS.OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 02466-01 |
Most Important Dates
| Enumeration Date: | 11/21/2021 |
| Last Updated: | 11/21/2021 |
Provider Practice Location
85 BLOOMINGROVE DR
TROY
NY
121808433
Practice Location Phone/Fax
| Phone: | 5182832000 |
| Fax: |
Provider Mailing Location
4 ROBERTS RD
WATERFORD
NY
121881413
Provider Mailing Phone/Fax
| Phone: | 5185051043 |
| Fax: |