Individual
LAUREN IACOVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6339 MILL ST, RHINEBECK, NY 12572-1427
(845) 871-1000
Mailing address
47 CHERRY LN, ANCRAMDALE, NY 12503-5003
(609) 276-3405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011624
NY
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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