Individual
MISS BRITTNY ANN FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 DUNDALK RD, MANORVILLE, NY 11949-2105
(631) 295-6580
Mailing address
4 DUNDALK RD, MANORVILLE, NY 11949-2105
(631) 295-6580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022085
NY
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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