| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANGELA MARIA DEJESUS | 1003573395 | 2021-11-21 |
Angela Maria Dejesus is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1003573395. Registration indicates Angela Maria Dejesus is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Angela Maria Dejesus MS.OTR/L |
| Practice Office Address | 85 BLOOMINGROVE DR TROY, NY US |
| Practice Office Telephone | 5182832000 |
| Mailing Address | 4 ROBERTS RD WATERFORD, NY 121881413 US |
| Business Telephone | 5185051043 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 02466-01
NY |