Individual
COURTENAY P BROMFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
12 KOROL ST, BAY SHORE, NY 11706-6521
(631) 418-7563
Mailing address
12 KOROL ST, BAY SHORE, NY 11706-6521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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