NPI 1023530599

Jilisa Henry, COTAL

Practitioner Occupational Therapy Assistant Yonkers, NY

Practice location

Address: 28 Moultrie Ave, Yonkers, NY 10710-5410
Phone: (718) 304-4475

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 380338 (NY)

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Registry record

NPI: 1023530599
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2017
Record last updated: 21 Jul 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.