Individual
MS. NATASHA E BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8815 144TH ST APT 2C, JAMAICA, NY 11435-3201
(917) 502-2552
Mailing address
8815 144TH ST APT 2C, JAMAICA, NY 11435-3201
(917) 502-2552
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
013706-1
OT LICENSE
NY
Enumeration date
06/26/2009
Last updated
07/28/2010
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