DESIREE KOPIL GANNON

EDISON, NJ
NPI1508006883
Former NameDESIREE MARIE KOPIL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  008498-1)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: NJ  46TR00098800)
Enumeration Date2009-02-26
Last Update Date2012-03-28
Business Address
Mrs. DESIREE KOPIL GANNON OTR/L
131 SAFRAN AVE
EDISON, NJ 08837-3205
Phone number: 732-742-3749
Mailing Address
Mrs. DESIREE KOPIL GANNON OTR/L
131 SAFRAN AVE
EDISON, NJ 08837-3205
Phone number: 732-742-3749