Individual
GUILLERMO H MAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2704 WALLACE AVE, APT 2 S, BRONX, NY 10467-8821
(347) 647-1671
Mailing address
2704 WALLACE AVE, APT 2 S, BRONX, NY 10467-8821
(347) 647-1671
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017460
NY
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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