Individual
SALLY MEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BROADHOLLOW RD, MELVILLE, NY 11747-4905
(631) 549-6994
Mailing address
66 PRINCETON ST, ROCKVILLE CENTRE, NY 11570-2431
(516) 509-1181
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
002212-1
NY
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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