Individual
MRS. CHRISTINE MARY NUGENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
51 OLD DOCK RD, KINGS PARK, NY 11754-2613
(631) 662-6107
Mailing address
51 OLD DOCK RD, KINGS PARK, NY 11754-2613
(631) 662-6107
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003652
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003652
OT LICENSE
NY
Enumeration date
11/17/2011
Last updated
11/17/2011
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