Healthcare Provider Details

I. General information

NPI: 1518391036
Provider Name (Legal Business Name): LETRICIA BROWN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2013
Last Update Date: 11/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

77 LOCUST HILL AVE
YONKERS NY
10701-2864
US

IV. Provider business mailing address

77 LOCUST HILL AVE
YONKERS NY
10701-2864
US

V. Phone/Fax

Practice location:
  • Phone: 914-376-3481
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: