Individual
CHAD VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
(718) 828-2666
Mailing address
89 BARTLETT ST, BROOKLYN, NY 11206-4463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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