Individual
MRS. MARIA LOUISA COLONNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4 LYNDON PL, MELVILLE, NY 11747-4255
(631) 659-3096
Mailing address
4 LYNDON PL, MELVILLE, NY 11747-4255
(631) 659-3096
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011759
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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