Individual
MS. ETTA HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED OCCUPATIO
Contact information
Practice address
157 CONNECTICUT AVE, FREEPORT, NY 11520
(516) 578-0707
(516) 379-1036
Mailing address
157 CONNECTICUT AVE, FREEPORT, NY 11520
(516) 578-0707
(516) 379-1036
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0080841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225283708
CHANGE EMAIL HARPERETTA@YAHOO.COM
NY
01
—
1225283708
EMAIL CHANGE HARPERETTA@YAHOO.COM
—
Enumeration date
11/25/2008
Last updated
12/28/2010
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