Individual
FRANCINE CACCIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT OTR/L
Contact information
Practice address
299 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1217
(631) 473-4284
Mailing address
55 LINDNER PL, MALVERNE, NY 11565-1408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023441
NY
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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