Jennifer Brooke Hirsch, OTR/L, ATC
Occupational Therapist in Staten Island, NY. Individual provider (NPI-1).
NPI number1376830489
StatusActive
Last updated in NPPESJul 10, 2011
Details
- NPI
- 1376830489
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jennifer Brooke Hirsch
- Credential
- OTR/L, ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 10, 2011
- Last updated
- Jul 10, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 016776-1 | NY | Yes |
Practice location
17 Alexander AveStaten Island, NY 10312-1907
Phone 718-356-3872
Mailing address
17 Alexander AveStaten Island, NY 10312-1907
Phone 718-356-3872
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