Individual
MRS. BESSIE UFOT DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 W 131ST ST APT 3A, NEW YORK, NY 10037-3576
(212) 283-6372
Mailing address
28WEST,131STREET,,APT 3A, NEW YORK, NY 10037
(212) 283-6478
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00604-1
NY
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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