JENNA NICOLE DERLETH

STATEN ISLAND, NY
NPI1902693807
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  029970)
Enumeration Date2025-04-23
Last Update Date2025-04-23
Business Address
JENNA NICOLE DERLETH OT
3311 HYLAN BLVD
STATEN ISLAND, NY 10306-3611
Phone number: 718-448-3210
Mailing Address
JENNA NICOLE DERLETH OT
972 BRUSH HOLLOW RD FL 4
WESTBURY, NY 11590-1740
Phone number: 516-474-2816