Individual
CHRISTINE WINGERT CAPURSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
14 SOMERSET LN, EAST SETAUKET, NY 11733-1848
(631) 434-5423
Mailing address
PO BOX 424, EAST SETAUKET, NY 11733-0424
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007893
NY
Other
Enumeration date
08/10/2010
Last updated
08/10/2010
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