Individual
ERICA J TENPENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3611 14TH AVE STE 211A, BROOKLYN, NY 11218-3773
(718) 557-7037
Mailing address
6616 16TH AVE, BROOKLYN, NY 11204-4201
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028015
NY
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028015
STATE LICENSE
NY
01
—
46TR00996400
STATE LICENSE
NJ
Enumeration date
05/12/2022
Last updated
01/30/2025
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