Individual
BRYAN KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
317 NORTH ST, WHITE PLAINS, NY 10605-2209
(914) 597-4109
Mailing address
72 JOYCE RD, HARTSDALE, NY 10530-2955
(914) 980-1018
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
020587-1
NY
Other
Enumeration date
07/04/2016
Last updated
05/03/2022
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