National Provider Identifier

Brian Mustico, MS OTR/L

Brian Mustico, MS OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Elmira, NY and a listed phone number of (607) 235-1769.

NPI 1144594946Elmira, NYOccupational Therapist

Profile Overview

NPI
1144594946
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
February 27, 2012
Last Updated
February 27, 2012

Practice Location

  • 512 West Clinton Street
  • Apartment B
  • Elmira, NY 14901

Phone: (607) 235-1769

Mailing Address

  • 512 W Clinton St
  • Apt B
  • Elmira, NY 14901-2444

Specialties

  • Occupational Therapist (225X00000X)
Full Record
NPI
1144594946
Entity Type
Individual
Last Name
Mustico
First Name
Brian
Credential
MS OTR/L
Mailing Street Address
512 W Clinton St
Mailing Address Line 2
Apt B
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14901-2444
Mailing Country
US
Practice Street Address
512 West Clinton Street
Practice Address Line 2
Apartment B
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901
Practice Country
US
Practice Phone
(607) 235-1769
Enumeration Date
February 27, 2012
Last Updated
February 27, 2012
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X)