Individual
MS. EVALYN NELSON BLADSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 COURT ST, ROOM 1503, BROOKLYN, NY 11201-4916
(718) 935-4789
Mailing address
3 EAST 85TH STREET, APT 6B, NEW YORK, NY 10028
(917) 526-2343
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013422
NY
Other
Enumeration date
09/23/2010
Last updated
10/07/2010
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