Individual
AVERY LOU GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WICHARD DR, OAKDALE, NY 11769-1548
(631) 567-1266
Mailing address
22 WICHARD DR, OAKDALE, NY 11769-1548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029330
NY
Other
Enumeration date
09/02/2024
Last updated
09/02/2024
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