Individual
CANDICE MARIE LORENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
295 MONTAUK HIGHWAY, STORE 12, SPEONK, NY 11972-0586
(631) 866-6507
(631) 325-3407
Mailing address
PO BOX 586, SPEONK, NY 11972-0586
(631) 866-6507
(631) 325-3407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
014460
NY
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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