Individual
NOREEN S WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 JANET LN, GLEN COVE, NY 11542-2809
(516) 477-8281
Mailing address
26 JANET LN, GLEN COVE, NY 11542-2809
(516) 477-8281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0066571
NY
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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