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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSICA C COURTIEN, OTA

Active Sole Proprietor

JESSICA C COURTIEN, OTA is a Occupational Therapy Assistant healthcare provider located in MOHEGAN LAKE, New York. NPI 1518276765 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MOHEGAN LAKE, NY

Registration Details

NPI Number
1518276765
Provider Type
Individual
Gender
Female
NPI Issued
Oct 5, 2010 (15.834983925778 yrs)
Last Updated
May 30, 2024
License
007576-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
2847 GRANT AVE
MOHEGAN LAKE, NY, 105471812
Browse NY providers · Browse ZIP 10547
Phone
9144479040
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.