Individual
HADASSAH PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1451 E 14TH ST, BROOKLYN, NY 11230-6609
(718) 382-1060
Mailing address
1451 E 14TH ST, BROOKLYN, NY 11230-6609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014111
NY
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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