Mark Russell Bantug, COTA
NPI #1881544039 in Stony Point, New York
Provider Information
- NPI Number
- 1881544039
- Entity Type
- Individual
- Name
- Mark Russell Bantug, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jan 29, 2026
- Last Updated
- Jan 29, 2026
Practice Location
- Address
- 40 WALTER DR
- City
- Stony Point
- State
- New York
- ZIP Code
- 10980-1039
- Phone
- (914) 441-1417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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