Individual
ENZA VANESSA SALLUSTIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
476 AVENUE Y, BROOKLYN, NY 11223-6050
(917) 535-1460
Mailing address
476 AVENUE Y, BROOKLYN, NY 11223-6050
(917) 535-1460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026170
NY
225X00000X
Occupational Therapist
456357
NY
Other
Enumeration date
07/12/2021
Last updated
10/29/2021
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