Individual
COURTNEY SHANNON MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15813 72ND AVE, FRESH MEADOWS, NY 11365-1140
(718) 380-7600
Mailing address
596 NORTH RD, BETHPAGE, NY 11714-3318
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022448-1
NY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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