Individual
CARLY WELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1363 VETERANS MEMORIAL HWY STE 8, HAUPPAUGE, NY 11788-3046
(631) 366-3876
Mailing address
4 HAMLET DR, COMMACK, NY 11725-4432
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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