Individual
RACHEL R BROOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
15351 78TH ST, HOWARD BEACH, NY 11414-1708
(646) 457-0147
Mailing address
15351 78TH ST, HOWARD BEACH, NY 11414-1708
(646) 457-0147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006740
NY
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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