Individual
STEPHANIE LADD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
64 OAKLAWN AVE, FARMINGVILLE, NY 11738-2543
(631) 252-4853
Mailing address
64 OAKLAWN AVE, FARMINGVILLE, NY 11738-2543
(631) 252-4853
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008689
NY
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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