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

MRS. JUDITH SUSAN MYSTKOWSKI, COTA

Active Sole Proprietor

MRS. JUDITH SUSAN MYSTKOWSKI, COTA is a Occupational Therapy Assistant healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1679291322 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1679291322
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2022 (3.9492346166272 yrs)
Last Updated
Aug 18, 2022
License
008322-01 (NY)
Sole Proprietor
Yes

Practice Information

Address
290 NORWOOD AVE
PORT JEFFERSON STATION, NY, 117762562
Browse NY providers · Browse ZIP 11776
Phone
6314748130
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
VITTORIA A. MCCARTHY C.O.T.A. 1427170646
HOPE REINISCH 1932678877
CARMINDA LUZ ARANA BROOKS COTA 1992314603
STACIANN GARRY 1629796578
BRITTANY LLOBELL COTA/L 1326753161
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.