Individual
ANTOINETTE SIMONETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
97 CHURCHILL AVE, STATEN ISLAND, NY 10309-1921
(718) 317-0596
Mailing address
97 CHURCHILL AVE, STATEN ISLAND, NY 10309-1921
(718) 317-0596
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012692
NY
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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