Gary Wynn

NPI 1356564926 - Occupational Therapist - 225X00000X

NPI Details
NPI 1356564926
Gender Male
Enumeration Date 04/11/2007
Last Updated 12/17/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
88 LEDGEWOOD DR
SMITHTOWN NY, 11787-4247, US
Phone (631) 670-7459
Fax
Business Location
88 LEDGEWOOD DR
SMITHTOWN NY, 11787-4247, US
Phone (631) 670-7459
Fax
Toxanomy
Taxonomy Code 225X00000X
License State New York
License Number 008365
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According to our database, Gary Wynn NPI is 1356564926, taxonomy code is 225X00000X and license number is 008365, license state is located at New York. Gary Wynn physically located at 88 Ledgewood Dr, Smithtown NY, 11787-4247. NPI Number Gary Wynn has the Individual type.

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1356564926 NPI number is provided on an as is basis without warranty of any kind. 1356564926 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Wynn are for informational purposes only.