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1588389621
MELISSA LORRAINE FENTON
SMITHTOWN, NY
NPI
1588389621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 027303)
Enumeration Date
2022-10-11
Last Update Date
2022-10-11
Business Address
MELISSA LORRAINE FENTON MS, OTR/L
1038 W JERICHO TPKE
SMITHTOWN, NY 11787-3208
Phone number: 631-368-2583
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Mailing Address
MELISSA LORRAINE FENTON MS, OTR/L
163 BROOK ST
BAY SHORE, NY 11706-5828
Phone number: 631-697-2573
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