Individual
DAVID OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
Mailing address
353 DIVISION ST, FULTON, NY 13069-2519
(315) 744-4213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010189
NY
Other
Enumeration date
07/17/2019
Last updated
07/18/2019
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