Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 024553 | NY |
NPI | 1003441353 |
---|---|
Provider Name | Brittany Michele Chandler |
First Address | Brooklyn, NY 11216-6329 |
Second Address | Bronx, NY 10456-7803 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2020 |
Last Update Date | 06/03/2020 |