Individual
DANIELLE DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1001 WEST ST, CARTHAGE, NY 13619-9703
(315) 519-5930
Mailing address
1001 WEST ST, CARTHAGE, NY 13619-9776
(315) 519-5930
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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