Individual
DANIELLE HEFETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
149 LAKEBRIDGE DRIVE N, KINGS PARK, NY 11754
(631) 334-1063
Mailing address
149 LAKEBRIDGE DRIVE N, KINGS PARK, NY 11754
(631) 334-1063
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
334844
NY
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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