Individual
CHARMAINE JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
966 E 79TH ST, BROOKLYN, NY 11236-3808
(171) 896-8036
Mailing address
966 E 79TH ST, BROOKLYN, NY 11236-3808
(171) 896-8036
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004574
NY
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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