Individual
MS. TRACY PANGANDAMAN DULAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
600 E 6TH ST, B43, NEW YORK, NY 10009-6851
(212) 673-6510
Mailing address
510 E 20TH ST, APT. MA, NEW YORK, NY 10009-8301
(212) 533-0273
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013883-1
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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