Individual
MICHAEL JAMES TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1 CRAIG B GARIEPY AVE, ISLIP TERRACE, NY 11752-2820
(631) 650-6545
Mailing address
13 HAMPTON CT, CORAM, NY 11727-1628
(631) 988-3805
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
116461
NY
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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