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Individual

MRS. RUTH BLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1633 E 8TH ST, BROOKLYN, NY 11223-2217
(718) 336-0265
Mailing address
1160 E 84TH ST, BROOKLYN, NY 11236-4733
(718) 813-1776

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
017801
NY

Other

Enumeration date
01/25/2013
Last updated
01/25/2013
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