Individual
CHARLOTTE BRACKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
30 WOOD COVE DR, COVENTRY, RI 02816-6605
(401) 286-9708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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