Individual
ANNA DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2134 E 22ND ST, BROOKLYN, NY 11229-3640
(646) 275-4502
Mailing address
2134 EAST 22ND STREET, BROOKLYN, NY 11229
(646) 275-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007476-1
NY
Other
Enumeration date
04/29/2015
Last updated
05/24/2015
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