Individual
MRS. LYNDA BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
162 W 72ND ST, 5TH FLOOR, NEW YORK, NY 10023-3300
(212) 721-5220
(212) 982-9816
Mailing address
201 ENGERT AVE, APT 2L, BROOKLYN, NY 11222-5127
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
015023-1
NY
Other
Enumeration date
07/14/2010
Last updated
07/30/2012
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