Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XE0001X | Environmental Modification | 025635 | NY |
N | 2251E1200X | Ergonomics | 025635 | NY |
N | 225XE1200X | Ergonomics | 025635 | NY |
N | 225XG0600X | Occupational Therapist - Gerontology | 025635 | NY |
N | 2251H1300X | Human Factors | 025635 | NY |
N | 225XH1300X | Human Factors | 025635 | NY |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 025635 | NY |
NPI | 1689248742 |
---|---|
Provider Name | Dr. Rochelle Jillian Mendonca |
First Address | Fort Lee, NJ 07024-3160 |
Second Address | New York, NY 10032-3925 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2021 |
Last Update Date | 13/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
M25166607155801 | DMV (01) | NJ |