Provider Demographics
NPI:1831553148
Name:WUESTEFELD, ANN CLAIRE (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:CLAIRE
Last Name:WUESTEFELD
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 E 14TH ST
Mailing Address - Street 2:APT 2C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4207
Mailing Address - Country:US
Mailing Address - Phone:212-729-4482
Mailing Address - Fax:
Practice Address - Street 1:331 E 14TH ST
Practice Address - Street 2:APT 2C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4207
Practice Address - Country:US
Practice Address - Phone:212-729-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020421225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist