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Individual

DAVID SEAN MCMULLAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA/L

Contact information

Practice address
1001 AXINN AVE, GARDEN CITY, NY 11530-2153
(516) 570-7010
Mailing address
279 FREDERICK AVE, SOUTH FLORAL PARK, NY 11001-3554
(727) 748-6092

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009241-01
NY
224Z00000X
Occupational Therapy Assistant
OP007995
PA
224Z00000X
Occupational Therapy Assistant
OTA13816
FL

Other

Enumeration date
03/21/2024
Last updated
03/21/2024
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