Individual
JENNIFER CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S ALLEGHANY AVE, LINDENHURST, NY 11757-5112
(631) 867-3200
Mailing address
45 WOOD LN, LEVITTOWN, NY 11756-4432
(516) 470-1354
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011902-1
NY
Other
Enumeration date
07/01/2012
Last updated
07/01/2012
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