Individual
MS. LUNY PEGGY JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1531 SAINT LOUIS AVE, BAY SHORE, NY 11706
(631) 383-2668
Mailing address
1531 SAINT LOUIS AVE, BAY SHORE, NY 11706
(631) 383-2668
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008214
NY
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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