Individual
AYANA ROMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
936 E 104TH ST, BROOKLYN, NY 11236-2816
(800) 330-7711
Mailing address
936 E 104TH ST, BROOKLYN, NY 11236-2816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14049
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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