Organization
THERAPISTS 2 GO OCCUP, PHYSICAL & SPEECH LANG PATH SRVCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CANILLAS M.S., CF-SLP (SPEECH LANGUAGE PATHOLOGIST)
(201) 679-4962
Entity
Organization
Contact information
Practice address
6800 JERICHO TPKE, STE 120W, SYOSSET, NY 11791-4445
(516) 393-5966
Mailing address
6800 JERICHO TPKE STE 120W, SYOSSET, NY 11791-4445
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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