Individual
KRISTEN LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
225 WEST ST, WARWICK, NY 10990-3213
(201) 310-7552
Mailing address
6 SPRUCE HILL CT, CHESTER, NY 10918-2401
(201) 310-7552
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008407-1
NY
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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