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Individual

RANDI BARRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
77 TWIG LN, LEVITTOWN, NY 11756-1814
(516) 319-3617
Mailing address
77 TWIG LN, LEVITTOWN, NY 11756-1814
(516) 319-3617

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005240-1
NY

Other

Enumeration date
08/27/2008
Last updated
08/27/2008
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