Individual
GENEL PULST FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
95 BRADHURST AVE, VALHALLA, NY 10595-1637
(914) 592-7138
Mailing address
8 NASH RD, NORTH SALEM, NY 10560-3711
(914) 804-5814
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016518
NY
Other
Enumeration date
12/06/2010
Last updated
08/01/2019
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