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Organization
INDEPENDENT LIVING FACILITATORS
Active
Organization
INDEPENDENT LIVING FACILITATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHANNA A. CAMPO MS, OTR/L (OCCUPATIONAL THERAPIST)
(631) 834-9796
Entity
Organization
Contact information
Practice address
1523 73RD ST, 2ND FLOOR, BROOKLYN, NY 11228-2113
(631) 834-9796
Mailing address
1523 73RD ST, 2ND FLOOR, BROOKLYN, NY 11228-2113
(631) 834-9796
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016349
NY
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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