Individual
TANDEEKA NORVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
744 E 48TH ST, BROOKLYN, NY 11203-5802
(347) 432-8847
Mailing address
744 E 48TH ST, BROOKLYN, NY 11203-5802
(347) 432-8847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009775
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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