Theresa Avila Thelen-Clemmons
Occupational Therapist - Pediatrics
88 Meserole Ave Apt 2d
Brooklyn
, New York 11222-2675
Theresa Avila Thelen-Clemmons
Occupational Therapist - Pediatrics
88 Meserole Ave Apt 2d
Brooklyn
, New York 11222-2675
(206) 769-2098
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Theresa Avila Thelen-Clemmons
- 88 Meserole Ave Apt 2d
- Brooklyn, NY
- Zip : 11222-2675
- Phone : (206) 769-2098
Second Address
- Theresa Avila Thelen-Clemmons
- 88 Meserole Ave Apt 2d
- Brooklyn, NY
- Zip : 11222-2675
- Phone : (206) 769-2098
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What is Theresa Avila Thelen-Clemmons ’s gender?
Is Theresa Avila Thelen-Clemmons a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 0197491 | NY |
National Provider Identifier
| NPI | 1003299017 |
|---|---|
| Provider Name | Theresa Avila Thelen-Clemmons |
| First Address | Brooklyn, NY 11222-2675 |
| Second Address | Brooklyn, NY 11222-2675 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2015 |
| Last Update Date | 08/07/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.