Individual
MRS. ANNMARIE MACKIN BOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
252 CHESTNUT ST, WEST HEMPSTEAD, NY 11552-2458
(516) 485-7786
Mailing address
252 CHESTNUT ST, WEST HEMPSTEAD, NY 11552-2458
(516) 485-7786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005202-1
NY
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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