Individual
MICHELLE HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2447 EASTCHESTER RD # 2, BRONX, NY 10469-5915
(718) 882-2111
Mailing address
130 WASHBURNS LN APT 4, STONY POINT, NY 10980-2158
(845) 659-2606
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0099221
NY
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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