Individual
BEVERLY LYTLE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100-57 198TH STREET, HOLLIS, NY 11423
(347) 451-8942
Mailing address
PO BOX 513, ST. ALBANS, NY 11412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003742-1
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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