Individual
KRISTA MEGAN LIMONCELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
446 KIME AVE, WEST ISLIP, NY 11795-1115
(631) 521-9116
Mailing address
446 KIME AVE, WEST ISLIP, NY 11795-1115
(631) 521-9116
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011467-01
NY
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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