Individual
MRS. GUADALUPE PURYEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4242 80TH ST, APT. 2Y, ELMHURST, NY 11373-3064
(347) 247-7124
Mailing address
6710 MYRTLE AVE, GLENDALE, NY 11385-7058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016084
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RK33845N
—
NY
Enumeration date
05/19/2010
Last updated
12/13/2018
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