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Individual
MARY ANGELINA MIRABELLA
Active
Individual
MARY ANGELINA MIRABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019910-1
OCCUPATIONAL THERAPY STATE LICENSE
NY
Enumeration date
12/16/2015
Last updated
12/16/2015
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