Individual
MRS. VIVIEN LOBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
536 W CHESTER ST, LONG BEACH, NY 11561
(516) 431-8899
Mailing address
536 W CHESTER ST, LONG BEACH, NY 11561-1705
(516) 431-8899
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003574
OCCUPATIONAL THERAPIST
NY
Enumeration date
12/14/2011
Last updated
12/14/2011
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