Individual
MRS. DANA MICHELLE MAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
Mailing address
22 MIDWOOD AVE, FARMINGDALE, NY 11735-5348
(631) 835-6482
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
64008779
NY
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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