Individual
MS. JESSICA ANNE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2 BROOKLYN HEIGHTS RD, APT 1, MILAN, NY 12571-4706
(845) 656-8740
Mailing address
2 BROOKLYN HEIGHTS RD, APT 1, MILAN, NY 12571-4706
(845) 656-8740
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002844-1
NY
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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