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Individual

EMILY MAXWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3636 33RD ST STE 500, LONG ISLAND CITY, NY 11106-2329
(212) 589-1207
Mailing address
250 W 19TH ST APT 7N, NEW YORK, NY 10011-4052
(480) 389-7695

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022453
NY
225X00000X
Occupational Therapist
399881
MD

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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