Individual
MRS. BRENDA PRINCE FADEYIBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 SELWYN AVE, BRONX, NY 10457-7626
(718) 518-5859
Mailing address
18 E 48TH ST, RM 801, NEW YORK, NY 10017-1063
(212) 421-1969
(212) 223-0198
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
63017537
NY
Other
Enumeration date
03/07/2013
Last updated
05/15/2020
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