PHYLLIS IMADE

BRONX, NY
NPI1679172134
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  025110)
Enumeration Date2020-10-25
Last Update Date2020-10-25
Business Address
PHYLLIS IMADE
1168 FOREST AVE
BRONX, NY 10456-5462
Phone number: 646-399-6738
Mailing Address
PHYLLIS IMADE
1168 FOREST AVE
BRONX, NY 10456-5462
Phone number: 646-399-6738
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