Individual
MISS BRIDGET N GUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10B MADISON AVENUE EXT, ALBANY, NY 12203-7314
(518) 466-3206
Mailing address
5 HELEN CT, GLENVILLE, NY 12302-4901
(518) 466-3206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024698
NY
Other
Enumeration date
05/02/2015
Last updated
11/22/2023
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