Individual
MRS. LORETTA ENGLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
159 SMITH ST, 6G, FREEPORT, NY 11520-4464
(646) 250-0871
Mailing address
159 SMITH ST, 6G, FREEPORT, NY 11520-4464
(646) 250-0871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006413-1
NY
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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