Individual
JOANNA WAHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8804 5TH AVE, BROOKLYN, NY 11209-5902
(718) 238-2765
Mailing address
8804 5TH AVE, BROOKLYN, NY 11209-5902
(646) 331-5495
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007033
NY
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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