Individual
FARRAH CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1230 ZEREGA AVE, BRONX, NY 10462-5422
(718) 828-3744
Mailing address
1230 ZEREGA AVE, BRONX, NY 10462-5422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018869
NY
Other
Enumeration date
06/16/2014
Last updated
04/22/2015
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