Individual
MR. JOHN ANDREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5674 MOSHOLU AVE, BRONX, NY 10471-2411
(203) 300-1112
(203) 364-9010
Mailing address
17 THE OLD RD, NEWTOWN, CT 06470-1520
(203) 300-1112
(203) 364-9010
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
003153
CT
225XP0200X
Pediatric Occupational Therapist
Primary
010103-1
NY
Other
Enumeration date
01/16/2009
Last updated
01/16/2009
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