Individual
BRENDA MCARTHUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
268 GRAND BLVD, DEER PARK, NY 11729-3936
(631) 882-1702
Mailing address
268 GRAND BVLD, DEER PARK, NY 11729
(631) 882-1702
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
006192
VA
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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