Individual
DEVORAH NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. OTR/L
Contact information
Practice address
30 CONCORD DR, MONSEY, NY 10952-1717
(845) 425-7166
Mailing address
30 CONCORD DR, MONSEY, NY 10952-1717
(845) 425-7166
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014174
NY
Other
Enumeration date
01/11/2009
Last updated
01/11/2009
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