Individual
MS. GIONNA MISHEL DECOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
572 US-6, MAHOPAC, NY 10541
(845) 519-2295
Mailing address
9 LORENE DR, LAGRANGEVILLE, NY 12540-5712
(845) 803-0406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NY
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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