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NPI Code Detail

MEDICARE: MISS BRIDGET N GUILLEN OTR/L

MEDICARE:  MISS BRIDGET N GUILLEN  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist024698NY

General Provider Information

NPI Number : 1942687520
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS BRIDGET N GUILLEN OTR/L
Provider Business Mailing Address
First Line : 5 HELEN CT
Second Line :
City : GLENVILLE
State : NY
Zip : 12302-4901
Country : US
Telephone Number : 518-466-3206
Fax Number :
Provider Business Practice Location Address
First Line : 10B MADISON AVENUE EXT
Second Line :
City : ALBANY
State : NY
Zip : 12203-7314
Country : US
Telephone Number : 518-466-3206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2015
Last Update Date : 11/22/2023

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Directions to “ MISS BRIDGET N GUILLEN OTR/L” Practice Location

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