JENNIFER LISTA

STATEN ISLAND, NY
NPI1821305681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  015778-1)
Enumeration Date2010-08-31
Last Update Date2010-08-31
Business Address
-- JENNIFER LISTA
164 WOEHRLE AVE
STATEN ISLAND, NY 10312-1944
Phone number: 917-733-4919
Mailing Address
-- JENNIFER LISTA
164 WOEHRLE AVE
STATEN ISLAND, NY 10312-1944
Phone number: 917-733-4919
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