Individual
MS. CHIQUITA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 E 15TH ST, BROOKLYN, NY 11229-1147
(718) 787-3213
Mailing address
1630 E 15TH ST, BROOKLYN, NY 11229-1147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63104
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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