Individual
MS. WANDA C MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR L
Contact information
Practice address
9728 3RD AVENUE, BROOKLYN, NY 11209-7203
(917) 693-7454
Mailing address
9728 3RD AVENUE, BROOKLYN, NY 11209-7203
(917) 693-7454
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009658-1
NY
Other
Enumeration date
11/17/2008
Last updated
11/22/2010
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