Individual
MR. GARY MUNIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR L
Contact information
Practice address
32 HARVEST LN, COMMACK, NY 11725-1508
(516) 672-4847
Mailing address
32 HARVEST LN, COMMACK, NY 11725-1508
(516) 672-4847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
013262
NY
225XE1200X
Ergonomics Occupational Therapist
013262
NY
225XP0200X
Pediatric Occupational Therapist
Primary
013262
NY
Other
Enumeration date
02/13/2007
Last updated
01/31/2017
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