Individual
MICHELE OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6308 69TH PL, MIDDLE VILLAGE, NY 11379-1726
(917) 299-3755
Mailing address
7 WESTERLY AVE, BETHPAGE, NY 11714-2913
(917) 299-3755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
01015101
NY
Other
Enumeration date
06/10/2022
Last updated
06/10/2022
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