Individual
JEANNE S GANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1 BRANDYWINE DR, DEER PARK, NY 11729-5721
(631) 392-0081
(631) 392-0084
Mailing address
8 PINOAK LN, HAUPPAUGE, NY 11788-1051
(631) 543-4548
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001520
NY
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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