Individual
MRS. DINA LEAH CHANALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
605 SHEPHERD AVE, BROOKLYN, NY 11208-3649
(718) 498-1884
Mailing address
14753 72ND DR, APT 1F, FLUSHING, NY 11367-2542
(718) 570-5002
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017041
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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