Individual
MS. MARY B BORRELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2449 33RD ST APT 1R, ASTORIA, NY 11102-1111
(917) 628-6893
Mailing address
2449 33RD ST APT 1R, ASTORIA, NY 11102-1111
(917) 628-6893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011104
NY
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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