Individual
BRIDGET KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 E OVERLOOK, PORT WASHINGTON, NY 11050-4730
(631) 617-3218
Mailing address
43 HOLLINS LN, EAST ISLIP, NY 11730-3005
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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