Individual
MRS. GERALANN LA FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8 NICOLE CT, MANORVILLE, NY 11949-2910
(631) 325-2021
(631) 325-2021
Mailing address
8 NICOLE CT, MANORVILLE, NY 11949-2910
(631) 325-2021
(631) 325-2021
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005211-1
NY
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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