Individual
FERNANDO PICHARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
402 W 148TH ST, 04, NEW YORK, NY 10031-3903
(646) 363-4020
Mailing address
402 W 148TH ST, 04, NEW YORK, NY 10031-3903
(646) 363-4020
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003100
NY
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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