JACOB THADISSERIL

BRONX, NY
NPI1215281795
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  017449)
Enumeration Date2012-11-05
Last Update Date2012-11-05
Business Address
-- JACOB THADISSERIL
2237 ELLIS AVE
BRONX, NY 10462-5105
Phone number: 212-221-1544
Mailing Address
-- JACOB THADISSERIL
2237 ELLIS AVE
BRONX, NY 10462-5105
Phone number:
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