Individual
SHATEQUA GADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 W 153RD ST, NEW YORK, NY 10039-1822
(347) 367-8855
Mailing address
263 W 153RD ST, NEW YORK, NY 10039-1822
(347) 367-8855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008027
NY
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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