Individual
PATRICIA MARIEEILEEN MAHANCRESCIMANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,OTR/L
Contact information
Practice address
50 MONTEBELLO RD, SUFFERN, NY 10901-3824
(845) 357-4466
Mailing address
1 KRISTEN LEAH LN, SALISBURY MILLS, NY 12577-5324
(845) 215-6019
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012672
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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