Individual
LAURA BOODOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2477 AQUEDUCT AVE, 4, BRONX, NY 10468-5254
(347) 595-6612
Mailing address
2477 AQUEDUCT AVE, 4, BRONX, NY 10468-5254
(347) 595-6612
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009238
NY
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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