Individual
MRS. JOAN MARIE HIBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 METROPOLITAN OVAL, APT. 5A, BRONX, NY 10462
(718) 430-0028
Mailing address
18 METROPOLITAN OVAL, BRONX, NY 10462-6750
(718) 430-0028
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007101-1
NY
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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