Individual
DEANA SIEFERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1233 12TH ST, WEST BABYLON, NY 11704-3628
(631) 617-7795
Mailing address
1233 12TH ST, WEST BABYLON, NY 11704-3628
(631) 617-7795
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-
NOT IDENTIFIED
—
Enumeration date
09/08/2020
Last updated
08/22/2023
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