Individual
LINDSAY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 CAMPO AVE, SELDEN, NY 11784-1738
(631) 766-7733
Mailing address
26 CAMPO AVE, SELDEN, NY 11784-1738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006263-1
NY
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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