Individual
SALLY BACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
10116 86TH AVE APT A5, RICHMOND HILL, NY 11418-1504
(917) 822-0650
Mailing address
10116 86TH AVE, RICHMOND HILL, NY 11418-1532
(917) 822-0650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006186-1
NY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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