Individual
JOHN AHEARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 N CENTRAL AVE STE 300, HARTSDALE, NY 10530-1839
(914) 761-8705
Mailing address
26 ROSSMORE AVE, BRONXVILLE, NY 10708-5622
(914) 337-1098
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8719-1
OCCUPATIONAL THERAPY ASSISTANT LICENSE
NY
Enumeration date
10/14/2016
Last updated
10/14/2016
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