Provider Demographics
NPI:1881692853
Name:JAUREGUI, ANTONIETA C (OTR)
Entity type:Individual
Prefix:MRS
First Name:ANTONIETA
Middle Name:C
Last Name:JAUREGUI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 RYE RIDGE PLZ STE 107
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2828
Mailing Address - Country:US
Mailing Address - Phone:914-305-9096
Mailing Address - Fax:914-305-4616
Practice Address - Street 1:10 RYE RIDGE PLZ STE 107
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2828
Practice Address - Country:US
Practice Address - Phone:914-305-9096
Practice Address - Fax:914-305-4616
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0013171225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist