Individual
TANYSHA DANIELLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2675 HENRY HUDSON PKWY APT 5K, BRONX, NY 10463-7739
(646) 319-9234
Mailing address
2675 HENRY HUDSON PKWY APT 5K, BRONX, NY 10463-7739
(646) 319-9234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011633
NY
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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