Individual
JEANINE A BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T
Contact information
Practice address
807 S OYSTER BAY RD, BETHPAGE, NY 11714-1030
(516) 622-8888
(516) 342-2480
Mailing address
235 CANDLEWOOD PATH, DIX HILLS, NY 11746-8003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
012238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012238
LICENSE
NY
Enumeration date
04/20/2007
Last updated
07/08/2007
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