Individual
BARBARA THIFAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19211 109TH AVE, SAINT ALBANS, NY 11412-1127
(347) 449-0226
Mailing address
19211 109TH AVE, SAINT ALBANS, NY 11412-1127
(347) 449-0226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016578
NY
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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