Individual
CHRISTINE GRAZIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
52 CHAMBERS STREET, FRESH MEADOWS, NY 11365
(123) 456-7891
Mailing address
7424 220TH ST # 1, OAKLAND GARDENS, NY 11364-3039
(718) 464-5651
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012649
NY
Other
Enumeration date
11/23/2008
Last updated
03/18/2014
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