Individual
MS. MELODY ANN BOTTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
200 BELLE TERRE RD, PORT JEFFERSON, NY 11777-1928
(631) 474-6267
Mailing address
6 VANDERVEER CT, ROCKVILLE CENTRE, NY 11570-1330
(516) 837-9887
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63-013613
NY
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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