Individual
GABRIELLE BROADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 DAVENPORT TER, WEST NYACK, NY 10994-1334
(845) 558-0236
Mailing address
3 DAVENPORT TER, WEST NYACK, NY 10994-1334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007880-1
NY
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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