Individual
JENNIFER LUCY BACHMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6744 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1209
(718) 505-2042
Mailing address
6744 ELIOT AVE, MIDDLE VILLAGE, NY 11379-1129
(718) 505-2042
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0069781
NY
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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