Individual provider · Type 1 NPI

Elder Berry Petilla

Occupational Therapist · New York, NY

NPI number 1336450865 Active

Practice location

4951 Chambers Street, 6th Floor
New York, NY 10007

Call (917) 286-5305 Map

Mailing address

2112 33rd Ave, Apt 3
Long Island City, NY 11106-4236

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X014851 (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 1336450865

Elder Berry Petilla's National Provider Identifier is 1336450865, issued on Jun 30, 2010. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in New York, NY. The record was last updated on Jun 30, 2010.