Individual
MS. MARILENA LAURETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2267 42ND ST, ASTORIA, NY 11105-1458
(917) 363-5262
Mailing address
2267 42ND ST, ASTORIA, NY 11105-1458
(917) 363-5262
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
011244
NY
225XP0200X
Pediatric Occupational Therapist
Primary
011244
NY
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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