Individual
DIANE MARESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
688 PAT DR, WEST ISLIP, NY 11795-3532
(631) 943-6445
Mailing address
688 PAT DR, WEST ISLIP, NY 11795-3532
(631) 943-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1743200
NY
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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