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Individual

AUSTIN HOLLAND CUNNINGHAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
525 E 68TH ST, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
121 READE ST APT 7H, NEW YORK, NY 10013-6307

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027230
NY

Other

Enumeration date
04/07/2023
Last updated
04/07/2023
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