Individual
MISS VIRGINIA O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CCC-SLP
Contact information
Practice address
321 BEACH 102ND ST, ROCKAWAY PARK, NY 11694-2867
(917) 721-5334
Mailing address
321 BEACH 102ND STREET, ROCKAWAY PARK, NY 11694
(917) 721-5334
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008207-1
NY
235Z00000X
Speech-Language Pathologist
025409-01
NY
Other
Enumeration date
11/04/2008
Last updated
10/17/2024
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