Individual
CARLY REED WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
180 LIVINGSTON ST, BROOKLYN, NY 11201-5861
(718) 522-2122
Mailing address
127 S 2ND ST APT 1, BROOKLYN, NY 11249-5234
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029702
NY
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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