DERRICKER BLAKE

BROOKLYN, NY
NPI1992223796
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  0087221)
Enumeration Date2017-09-01
Last Update Date2017-09-01
Business Address
DERRICKER BLAKE
3769 NOSTRAND AVE
BROOKLYN, NY 11235-2041
Phone number: 718-769-9888
Mailing Address
DERRICKER BLAKE
14 GRANT ST
TUCKAHOE, NY 10707-4152
Phone number:
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