Individual
COLLEEN NOORBAKHSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2579 OCEAN AVE FL 3, BROOKLYN, NY 11229-4552
(646) 780-0926
Mailing address
1900 PATRIOT WAY, WALL TOWNSHIP, NJ 07719-4729
(732) 685-6492
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00875300
NJ
Other
Enumeration date
06/07/2019
Last updated
12/07/2022
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