DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRAXTON WILLOUGHBY, OTR/L

Active Sole Proprietor

BRAXTON WILLOUGHBY, OTR/L is a Mental Health Occupational Therapist healthcare provider located in BRONX, New York. NPI 1578329934 is currently active in the NPPES registry. Verify at CMS.

Mental Health Occupational Therapist · BRONX, NY

Registration Details

NPI Number
1578329934
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2024 (2.2872630278214 yrs)
Last Updated
Feb 23, 2024
License
026455 (NY)
Sole Proprietor
Yes

Practice Information

Address
491 FLETCHER PL
BRONX, NY, 104571407
Browse NY providers · Browse ZIP 10457
Phone
7182154330
Primary Specialty
Mental Health Occupational Therapist
225XM0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.