Individual
OPAL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4087
Mailing address
977 CAYUGA RD, WEST HEMPSTEAD, NY 11552-3903
(718) 264-4087
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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