Individual
MS. JEANANN CAPPELLINO-FERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1723 HIMROD ST, RIDGEWOOD, NY 11385-1480
(718) 440-6500
Mailing address
1723 HIMROD ST, RIDGEWOOD, NY 11385-1480
(718) 440-6500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004179-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
978584884
—
NY
Enumeration date
06/21/2012
Last updated
04/26/2019
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