Individual
BRIANNA HATCHELL NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
150 W 92ND ST APT BB, NEW YORK, NY 10025-7556
(212) 595-1705
Mailing address
4 PARK AVE APT 10N, NEW YORK, NY 10016-5309
(704) 258-2662
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
024163-01
NY
Other
Enumeration date
11/14/2019
Last updated
11/12/2020
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