Individual
BRACHA DINAH SHADROUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2579 OCEAN AVE, BROOKLYN, NY 11229-4552
(646) 344-2250
Mailing address
1724 E 23RD ST, BROOKLYN, NY 11229-1521
(718) 502-7418
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023493
NY
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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