Individual
MS. CHRISTINA JEAN DONATACCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
236 2ND AVE, SUIT 401, NEW YORK, NY 10003-2704
(212) 683-8905
(212) 683-8906
Mailing address
1447 BROADWAY, 2L, ASTORIA, NY 11106-4529
(727) 534-8684
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009156-1
NY
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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