Individual
PENINA BRACHA HEIMOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1472 E 17TH ST, BROOKLYN, NY 11230-6704
(347) 893-9111
Mailing address
1472 E 17TH ST, BROOKLYN, NY 11230-6704
(347) 893-9111
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009123
NY
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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