Individual
MR. CHARLES TAN BERMEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
575 8TH AVE FL 6, NEW YORK, NY 10018-3158
(347) 632-6804
Mailing address
575 8TH AVE FL 6, NEW YORK, NY 10018-3158
(347) 632-6804
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027119-01
NY
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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