Individual
BHAVANA MALIPEDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
280 W 231ST ST, BRONX, NY 10463-3940
(570) 780-6633
Mailing address
4960 BROADWAY APT 2A, NEW YORK, NY 10034-2324
(570) 780-6633
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027384
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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