Individual
ADENA SALEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
7610 13TH AVE, BROOKLYN, NY 11228-2446
(718) 234-5091
Mailing address
508 AVENUE N, BROOKLYN, NY 11230-5609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0211431
NY
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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