IndividualActive
Braxton Willoughby, OTR/L
NPI 1578329934 · Mental Health Occupational Therapist · Bronx, NY
Provider details
- NPI number
- 1578329934
- Entity type
- Individual
- Primary specialty
- Mental Health Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 026455 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
491 Fletcher Pl
Bronx, NY 10457-1407
Phone: (718) 215-4330
Approximate (ZIP-level) locationGet directions
Mailing address
491 Fletcher Pl
Bronx, NY 10457-1407
Registry dates
- Enumerated
- 2024-02-23
- Last updated
- 2024-02-23
- Certified
- 2024-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.