Organization
DRAGONFLY & OWL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE NASH (OCCUPATIONAL THERAPIST)
(518) 423-7150
Entity
Organization
Contact information
Practice address
1653 NY-43, AVERILL PARK, NY 12018
(518) 407-5776
Mailing address
1653 NY-43, AVERILL PARK, NY 12018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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