Individual provider · Type 1 NPI
Telisa T. Wardlaw, OTR
Occupational Therapist · Rosedale, NY
Practice location
220-28 147th Avenue
Rosedale, NY 11413
Mailing address
17030 130th Ave, Apt 13A
Jamaica, NY 11434-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist Primary | 225X00000X | 016130-1 (NY) |
Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…
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About NPI 1164588158
Telisa T. Wardlaw, OTR's National Provider Identifier is 1164588158, issued on Dec 28, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Rosedale, NY. The record was last updated on Jan 19, 2012.