Colleen Bernard-Mitchell
Occupational Therapist in Queens Village, NY. Individual provider (NPI-1).
NPI number1326533993
StatusActive
Last updated in NPPESJun 26, 2018
Details
- NPI
- 1326533993
- Entity type
- Individual (NPI-1)
- Name
- Colleen Bernard-Mitchell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2018
- Last updated
- Jun 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 013972-1 | NY | Yes |
Practice location
21819 110th AveQueens Village, NY 11429-2516
Phone 347-707-9793
Mailing address
21819 110th AveQueens Village, NY 11429-2516
Phone 347-707-9793
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