Individual
MISS LORNA DECARLA INNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
900 PELHAM PARKWAY SOUTH, BRONX, NY 10462
(718) 931-6600
(718) 822-6369
Mailing address
900 PELHAM PARKWAY SOUTH, BRONX, NY 10462
(718) 931-6600
(718) 822-6369
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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