Individual
KATHLEEN WURSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
72 S WOODS RD, WOODBURY, NY 11797-1024
(516) 921-7650
Mailing address
240 FARBER DR, WEST BABYLON, NY 11704-5143
(631) 884-0687
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008237-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008237-1
OCCUPATIONAL THERAPY ASSISTANT LICENSE
NY
Enumeration date
05/14/2013
Last updated
05/14/2013
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