Organization
BALANCED OCCUPATIONAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANIELA GORDILLO MS (OWNER)
(929) 385-4299
Entity
Organization
Contact information
Practice address
1055 E TREMONT AVE, BRONX, NY 10460-2306
(929) 385-4299
(646) 395-3823
Mailing address
1109 ADEE AVE, BRONX, NY 10469-5117
(917) 435-9472
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
07/12/2023
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