Individual
MYRA D PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
945 FOREST ST, DOVER, DE 19904-3401
(302) 672-1500
Mailing address
945 FOREST ST, DOVER, DE 19904-3401
(302) 672-1500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001138
DE
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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