Individual
TANYA SHIRRELL KEITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
301 ORIENTAL BLVD APT 1F, BROOKLYN, NY 11235-4146
(347) 286-6194
Mailing address
500 W 164TH ST APT 1A, NEW YORK, NY 10032-4246
(347) 789-0807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010686
NY
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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