Individual
MS. MORGAN BAILEY BLUEGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
572 ROUTE 6, MAHOPAC, NY 10541-4787
(845) 519-2295
Mailing address
4 BENJAMIN GREEN LN, MAHOPAC, NY 10541-3948
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
394063
NY
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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