Individual
CAROL POPOWYTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
12 ALAN CT, NEW CITY, NY 10956-2623
(845) 641-6981
Mailing address
217 SAINT MARKS PL, MASSAPEQUA, NY 11758-6426
(845) 641-6981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003836-1
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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