Individual
COLLEEN BERNARD-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21819 110TH AVE, QUEENS VILLAGE, NY 11429-2516
(347) 707-9793
Mailing address
21819 110TH AVE, QUEENS VILLAGE, NY 11429-2516
(347) 707-9793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
013972-1
NY
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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