Individual
BROGAN ROSE DEEP-O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Mailing address
475 NORTHERN BLVD STE 19, GREAT NECK, NY 11021-4802
(516) 344-0023
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024726
NY
251E00000X
Home Health Agency
024726
NY
252Y00000X
Early Intervention Provider Agency
024726
NY
Other
Enumeration date
06/26/2020
Last updated
07/14/2020
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