| NPI | 1598382509 |
|---|---|
| Former Name | BROGAN O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024726) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 024726) |
| 251E00000X Home Health (Licence: NY 024726) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-14 |