Individual
MR. ADAM BRYAN HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
311 NORTH ST, WHITE PLAINS, NY 10605-2217
(914) 269-2172
Mailing address
311 NORTH ST, WHITE PLAINS, NY 10605-2217
(914) 269-2172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011264
NY
224Z00000X
Occupational Therapy Assistant
46TA09235000
NJ
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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