Individual
CANDY DENESIA MORREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
19544 WOODHULL AVE, HOLLIS, NY 11423-2982
(347) 458-2015
Mailing address
14235 84TH DR APT 5L, BRIARWOOD, NY 11435-2251
(347) 458-2015
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008660-01
NY
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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