Individual
MS. YITTA T KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4015 15TH AVE, BROOKLYN, NY 11218-4478
(718) 633-7728
(718) 633-7726
Mailing address
1359 54TH ST, BROOKLYN, NY 11219-4220
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004749
NY
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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