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Individual

ERIN PENDERGIST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1560 MAYFLOWER AVE, BRONX, NY 10461-5400
(203) 770-4927
Mailing address
16 IRON MINE RD, WEST STOCKBRIDGE, MA 01266-9221
(203) 770-4927

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022436
NY

Other

Enumeration date
04/06/2018
Last updated
04/06/2018
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