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Individual

FREDRICK WOLODIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S OTR/L

Contact information

Practice address
2012 HOBART AVE, 1ST FLOOR, BRONX, NY 10461-3917
(646) 808-9899
(646) 808-9899
Mailing address
2012 HOBART AVE, 1ST FLOOR, BRONX, NY 10461-3917
(646) 808-9899
(646) 808-9899

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016495
NY

Other

Enumeration date
10/01/2014
Last updated
10/01/2014
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