Individual
JESSICA PASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
560 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 376-4109
Mailing address
333 CARNATION RD, WEST ISLIP, NY 11795-2801
(631) 523-2161
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
012572-1
NY
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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