Individual
KATHERINE DE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1180 TINTON AVE, BRONX, NY 10456-5436
(718) 860-8615
Mailing address
53 HUTTON RD, CLIFTON, NJ 07013-3614
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
03/05/2020
Last updated
11/09/2022
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