Individual
COLETTE CLAIRE MACALI- DATTOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 BORGER PL, PEARL RIVER, NY 10965-1506
(201) 575-2734
Mailing address
16 BORGER PL, PEARL RIVER, NY 10965-1506
(201) 575-2734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09190900
NJ
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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