Individual
MISS DIANE ALPHONSE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1186 KING ST, RYE BROOK, NY 10573-1069
(914) 937-3800
Mailing address
1186 KING ST, RYE BROOK, NY 10573-1069
(914) 937-3800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0069321
NY
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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