Individual
STEPHANIE PINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
2465 BATHGATE AVE, BRONX, NY 10458-5928
(917) 557-8603
Mailing address
2465 BATHGATE AVE, BRONX, NY 10458-5928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007031-1
NY
Other
Enumeration date
08/06/2009
Last updated
08/23/2013
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