Sophia Alexandra Andrade, COTA
Occupational Therapy Assistant in Jeffersonville, NY. Individual provider (NPI-1).
NPI number1457090243
StatusActive
Last updated in NPPESJun 1, 2022
Details
- NPI
- 1457090243
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sophia Alexandra Andrade
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 1, 2022
- Certification date
- May 17, 2022
- Last updated
- Jun 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | – | Yes |
Practice location
4806 Ny-52Jeffersonville, NY 12748
Phone 845-482-4375
Mailing address
144 Yulan Barryville Rd Apt 2Barryville, NY 12719-5230
Phone 845-649-2378
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