Provider Demographics
NPI:1275840142
Name:FIGUEROA, JESSICA (0TA/L)
Entity Type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:0TA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 LIBRARY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1014
Mailing Address - Country:US
Mailing Address - Phone:718-415-8229
Mailing Address - Fax:
Practice Address - Street 1:1616 LIBRARY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1014
Practice Address - Country:US
Practice Address - Phone:718-415-8229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006825-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics