Individual
GABRIELLE PERK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 TYSENS LN, STATEN ISLAND, NY 10306-2856
(347) 839-5688
Mailing address
380 TYSENS LN, STATEN ISLAND, NY 10306-2856
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
025417
NY
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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