KEITH M VAN TASSELL

STATEN ISLAND, NY
NPI1962648568
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: NY  010331-1)
Enumeration Date2009-01-02
Last Update Date2009-01-02
Business Address
-- KEITH M VAN TASSELL OTR/L
243 DEMOREST AVE
STATEN ISLAND, NY 10314-3160
Phone number: 718-447-1414
Mailing Address
-- KEITH M VAN TASSELL OTR/L
243 DEMOREST AVE
STATEN ISLAND, NY 10314-3160
Phone number: 718-447-1414
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