Individual
MS. JOSETTE M CAIVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10 ASBURY ST, DEER PARK, NY 11729-2505
(631) 940-4862
Mailing address
10 ASBURY ST, DEER PARK, NY 11729-2505
(631) 940-4862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
P97535
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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