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Individual

ASHLEY ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1050 TARGEE ST, STATEN ISLAND, NY 10304-4409
(718) 816-8897
Mailing address
29 ALDEN ST APT 3D, CRANFORD, NJ 07016-5103
(718) 213-8711

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023408-1
NY

Other

Enumeration date
03/24/2019
Last updated
08/09/2024
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