BRAXTON WILLOUGHBY

BRONX, NY
NPI1578329934
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XM0800X Occupational Therapist, Mental Health
(Licence: NY  026455)
Enumeration Date2024-02-23
Last Update Date2024-02-23
Business Address
BRAXTON WILLOUGHBY OTR/L
491 FLETCHER PL
BRONX, NY 10457-1407
Phone number: 718-215-4330
Mailing Address
BRAXTON WILLOUGHBY OTR/L
491 FLETCHER PL
BRONX, NY 10457-1407
Phone number: 718-215-4330