Individual
MRS. ANDREA L MISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
7 GARDEN PATH, BOHEMIA, NY 11716-3706
(631) 589-2987
Mailing address
7 GARDEN PATH, BOHEMIA, NY 11716-3706
(631) 589-2987
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005843-1
NY
Other
Enumeration date
02/26/2007
Last updated
08/12/2016
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