Individual
MELINDA DENISE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 LOUISE DR PH, NEW WINDSOR, NY 12553-7712
(917) 327-8115
Mailing address
4 LOUISE DR PH, NEW WINDSOR, NY 12553-7712
(917) 327-8115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6566151
NY
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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