Individual
MRS. DONNA MARIE DESENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24 WEBSTER AVE, MASSAPEQUA, NY 11758-2435
(516) 765-3496
Mailing address
24 WEBSTER AVE, MASSAPEQUA, NY 11758-2435
(516) 765-3496
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013661
NY
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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