Individual
MISS BRIANNA KAYLA DAQUIAL VIGNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
20 JERUSALEM AVE, HICKSVILLE, NY 11801-4980
(516) 326-2020
Mailing address
317 BLACKSMITH RD W, LEVITTOWN, NY 11756-3111
(516) 987-8419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024040
NY
Other
Enumeration date
10/17/2019
Last updated
05/24/2023
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