SHANNON GRADY-TARENTINO

STATEN ISLAND, NY
NPI1487963906
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  009275-1)
Enumeration Date2010-10-01
Last Update Date2010-10-01
Business Address
-- SHANNON GRADY-TARENTINO OTR/L
40 MERRILL AVE
STATEN ISLAND, NY 10314-3312
Phone number: 718-370-7529
Mailing Address
-- SHANNON GRADY-TARENTINO OTR/L
50 LINCOLN BLVD
CLARK, NJ 07066-2530
Phone number: 908-966-6994