Individual
KOMLAN A BADO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
655 E 234TH ST APT D1, BRONX, NY 10466-2748
(718) 652-4826
Mailing address
655 E 234TH ST APT D1, BRONX, NY 10466-2748
(718) 652-4826
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008025
NY
Other
Enumeration date
09/02/2017
Last updated
07/21/2022
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