NPI 1003555004

Jared Victor Virella, COTAL

Practitioner Occupational Therapy Assistant Brooklyn, NY

Practice location

Address: 49 Montrose Ave, Brooklyn, NY 11206-2580
Phone: (718) 473-3808
Mailing address: 511 W 232nd St APT E43, Bronx, NY 10463-3561

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 011108 (NY)

Other Occupational Therapy Assistant providers in New York →

Registry record

NPI: 1003555004
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2022
Record last updated: 31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.