Provider Demographics
NPI:1154376226
Name:VILLASENOR, ROMANA FERRER (OT)
Entity type:Individual
Prefix:MS
First Name:ROMANA
Middle Name:FERRER
Last Name:VILLASENOR
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 E 59TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1202
Mailing Address - Country:US
Mailing Address - Phone:212-821-9645
Mailing Address - Fax:212-821-9710
Practice Address - Street 1:170 HAMILTON AVE
Practice Address - Street 2:LIGHTHOUSE INTERNATIONAL
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10601-1715
Practice Address - Country:US
Practice Address - Phone:914-683-7500
Practice Address - Fax:914-686-5866
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007406225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist