Individual
JENNIFER LYNNE WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
576 GARDENIA ST, WEST HEMPSTEAD, NY 11552-3016
(516) 505-8225
Mailing address
576 GARDENIA ST, WEST HEMPSTEAD, NY 11552-3016
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009494-1
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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