Individual
MAXINE OREILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8780 124TH ST, RICHMOND HILL, NY 11418-2733
(646) 704-1380
Mailing address
8780 124TH ST, RICHMOND HILL, NY 11418-2733
(646) 704-1380
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
007547-1
NY
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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