Individual
CALISTA GAETANA TOMASETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4875 HOG MOUNTAIN RD STE AB, FLOWERY BRANCH, GA 30542-3476
(678) 960-3063
Mailing address
33 HIGH ST, SAYVILLE, NY 11782-1333
(631) 379-9320
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT009313
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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