Organization
FUNCTION AT HOME OT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA M COLE OTR/L, CLT (OCCUPATIONAL THERAPIST)
(516) 434-5597
Entity
Organization
Contact information
Practice address
22 NORTHGATE DR, GREENLAWN, NY 11740-2305
(631) 434-5597
Mailing address
22 NORTHGATE DR, GREENLAWN, NY 11740-2305
(631) 434-5597
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010072
NY
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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