Individual
MR. BRIAN CIMMINO
Active
Individual
MR. BRIAN CIMMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
003745
CT
225X00000X
Occupational Therapist
Primary
0188201
NY
225X00000X
Occupational Therapist
11111
MA
225X00000X
Occupational Therapist
115784
TX
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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