Individual
DIANE GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 STATE ROUTE 32, HIGHLAND MILLS, NY 10930-5200
(845) 827-5360
Mailing address
PO BOX 25, HIGHLAND MILLS, NY 10930-0025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007667-1
NY
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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