Individual
MARY LEE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
317 E 50TH ST, NEW YORK, NY 10022-7901
(646) 823-9909
Mailing address
2212 3RD AVE, 2ND FLOOR, NEW YORK, NY 10035-3535
(212) 988-9500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019637
NY
Other
Enumeration date
08/31/2016
Last updated
11/30/2021
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