RICHARD LANCE WHALLEY

RONKONKOMA, NY
NPI1215556428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  024666)
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
Dr. RICHARD LANCE WHALLEY OTD, OTR/L
622 HAWKINS AVE
RONKONKOMA, NY 11779-2374
Phone number: 631-240-3579
Mailing Address
Dr. RICHARD LANCE WHALLEY OTD, OTR/L
335 CENTRAL ISLIP BLVD
RONKONKOMA, NY 11779-3908
Phone number: 631-981-6905