Individual
MR. ALFRED THEODOR KRANZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
98 MACON AVE, SAYVILLE, NY 11782-2412
(631) 567-2093
Mailing address
98 MACON AVE, SAYVILLE, NY 11782-2412
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008317-1
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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