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Individual

TINA SOLEIMANI LALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
7 DEVONSHIRE LN, GREAT NECK, NY 11023-1337
(917) 692-1211
Mailing address
7 DEVONSHIRE LN, GREAT NECK, NY 11023-1337
(917) 692-1211

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012252
NY

Other

Enumeration date
04/30/2010
Last updated
04/30/2010
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