Individual
DANIELLE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
395 SUNKEN MEADOW RD, KINGS PARK, NY 11754-1000
(631) 269-5800
Mailing address
204 OAKWOOD RD, PORT JEFFERSON, NY 11777-1421
(631) 974-4952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
685875
NY
225X00000X
Occupational Therapist
Primary
024406
NY
Other
Enumeration date
03/18/2015
Last updated
09/03/2020
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