Individual
MR. MICHAEL JOSEPH O'LOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
9055 180TH ST, JAMAICA, NY 11432-5612
(917) 975-2564
(718) 523-3121
Mailing address
9055 180TH ST, JAMAICA, NY 11432-5612
(917) 975-2564
(718) 523-3121
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011929
NY
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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