Individual
FATHIMA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
209 HOOPER ST APT 3, BROOKLYN, NY 11211-9615
(203) 988-4795
Mailing address
209 HOOPER ST APT 3, BROOKLYN, NY 11211-9615
(203) 988-4795
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
0746790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0746790
LICENSE
NY
Enumeration date
10/02/2020
Last updated
10/02/2020
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