Individual
DANIELLE HELENA MCGOVERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14 RESEARCH WAY, EAST SETAUKET, NY 11733-3453
(631) 331-6400
Mailing address
7 LOU CT, HOLBROOK, NY 11741-5808
(631) 567-5763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
009065-1
NY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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