Individual
MRS. ANNETTE YOLANDA PADMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
962 MANOR RD, STATEN ISLAND, NY 10314-7011
(718) 982-5944
Mailing address
22 PEACH TREE CT, MARLBORO, NJ 07746-1137
(917) 548-9069
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011835
NY
Other
Enumeration date
07/09/2010
Last updated
07/09/2010
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