Individual
MRS. RAQUEL BRODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3555 223RD ST, BAYSIDE, NY 11361-2236
(917) 502-1231
Mailing address
3555 223RD ST, BAYSIDE, NY 11361-2236
(917) 502-1231
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0101171
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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