Individual
DAFNEY TALLEYRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
121 W 17TH ST, DEER PARK, NY 11729-4910
(718) 300-8116
Mailing address
121 W 17TH ST, DEER PARK, NY 11729-4910
(718) 300-8116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011585
NY
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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