Individual
MRS. TINAMARIE MARTIRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
43 SHERWOOD DRIVE, SHOREHAM, NY 11786
(631) 821-4605
Mailing address
43 SHERWOOD DRIVE, SHOREHAM, NY 11786
(631) 821-4605
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009913-1
NY
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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