Individual
MR. IAN PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
624 E 220TH ST APT 2J, BRONX, NY 10467-5349
(646) 321-3342
Mailing address
624 EAST 220TH STREET, APT 2J, BRONX, NY 10469-5349
(646) 321-3342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007549-1
OK
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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