Individual
CHARLENE TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
155 BAY RIDGE AVE, BROOKLYN, NY 11220-5108
(718) 238-0377
Mailing address
2081 E 22ND ST, BROOKLYN, NY 11229-3641
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021575
NY
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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