Individual
DENAE GENESIS PACHECO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1221 JEROME AVE, BRONX, NY 10452-3301
(718) 538-8343
(718) 538-8356
Mailing address
120 NEWHAM AVE, BRENTWOOD, NY 11717-5624
(800) 364-0689
(888) 552-6176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012422
NY
Other
Enumeration date
12/27/2005
Last updated
07/08/2007
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