| NPI | 1487325783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYENA DONALDSON-FORTUNE Owner/Occupational Therapist 917-569-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-09-26 |
| Last Update Date | 2021-09-26 |