Nicole Mieczkowski, OTR/L

NPI #1356887863 in Farmingville, New York

Provider Information

NPI Number: 1356887863
Entity Type: Individual
Name: Nicole Mieczkowski, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jan 9, 2017
Last Updated: Jan 9, 2017

Practice Location

Address: 14 CARLISLE DR
City: Farmingville
State: New York
ZIP Code: 11738-2326
Phone: (631) 707-1059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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