Individual
MRS. KATHLEEN MELISSA URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
15 MOUNT EBO RD S, BREWSTER, NY 10509-4004
(845) 878-9078
(845) 278-6984
Mailing address
40 JON BARRETT RD, PATTERSON, NY 12563-2164
(845) 878-9078
(845) 278-6984
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006444
NY
Other
Enumeration date
08/23/2011
Last updated
08/23/2011
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