Individual
LOUIS DMYTRYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
400 W CUMMINGS PARK, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
402 FLORENCE PL, BELLMORE, NY 11710-3815
(631) 379-2485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010425
NY
Other
Enumeration date
07/17/2007
Last updated
07/17/2007
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