Individual
MS. VICKI W. BRAHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8439 MILLER HILL RD, AVERILL PARK, NY 12018-2608
(518) 674-7075
(518) 674-7096
Mailing address
8439 MILLER HILL RD, AVERILL PARK, NY 12018-2608
(518) 674-7075
(518) 674-7096
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004386-1
NY
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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