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Individual

RENA WINSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
750 HICKSVILLE RD, SEAFORD, NY 11783-1328
(314) 712-4321
Mailing address
6 ELINORE AVE, MERRICK, NY 11566-4212
(314) 712-4321

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017386
NY
225XP0200X
Pediatric Occupational Therapist
Primary
017386-1
NY

Other

Enumeration date
07/26/2012
Last updated
01/01/2019
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