Individual
BRUNILDA IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
298 E 3RD ST, 6, NEW YORK, NY 10009-7846
(917) 796-1870
(646) 454-1415
Mailing address
298 E 3RD ST, 6, NEW YORK, NY 10009-7846
(917) 796-1870
(646) 454-1415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002431-1
NY
Other
Enumeration date
01/24/2011
Last updated
01/26/2011
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