Individual
BRIANNA LYNNE FALGOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
22 NASSAU BLVD, GARDEN CITY, NY 11530-5640
(516) 564-1138
Mailing address
2 PEACOCK LN, GLEN HEAD, NY 11545-2928
(516) 473-9521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02542301
NY
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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