Individual
MRS. CORRIN WEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
580 LIBERTY AVENUE, WILLISTON PARK, NY 11596
(917) 572-6475
Mailing address
580 LIBERTY AVENUE, WILLISTON PARK, NY 11596
(917) 572-6475
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011516-1
NY
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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