Individual
ANNA KUDLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 KINGSBRIDGE AVE, BRONX, NY 10463-5517
(718) 796-7204
Mailing address
196 PINEHURST AVE APT 3I, NEW YORK, NY 10033-1735
(212) 740-1708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015210-1
NY
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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