Most Relevant Information
Provider Data
| NPI Number: | 1003683640 |
| Provider Name: | JEAN ELIZABETH WALSH OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2023 |
| Last Updated: | 12/05/2023 |
Provider Practice Location
962 MANOR RD
STATEN ISLAND
NY
103147041
Practice Location Phone/Fax
| Phone: | 7189825944 |
| Fax: |
Provider Mailing Location
630 BAY RIDGE PKWY
BROOKLYN
NY
112093330
Provider Mailing Phone/Fax
| Phone: | 7189862425 |
| Fax: |