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1902431711
KAITELAN COVENY
GREAT NECK, NY
NPI
1902431711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NY 024591)
Additional Taxonomies
174400000X Specialist
Enumeration Date
2020-03-12
Last Update Date
2020-06-08
Business Address
KAITELAN COVENY OTR/L
475 NORTHERN BLVD STE 19
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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Mailing Address
KAITELAN COVENY OTR/L
475 NORTHERN BLVD STE 27
GREAT NECK, NY 11021-4802
Phone number: 516-829-0030
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