| NPI | 1699063321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA A. CAMPO Occupational Therapist 631-834-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 016349) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |