Individual
DANIELLE CONWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 DONCASTER AVE, WEST ISLIP, NY 11795-1218
(201) 787-9543
Mailing address
1 DONCASTER AVE, WEST ISLIP, NY 11795-1218
(201) 787-9543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019116-1
NY
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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