Individual
ALLISON ANN MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
123 E 6TH RD, BROAD CHANNEL, NY 11693-1004
(646) 895-0310
Mailing address
123 E 6TH RD, BROAD CHANNEL, NY 11693-1004
(646) 895-0310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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