Individual
JANICE CHILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
15 DOGWOOD ST, FARMINGDALE, NY 11735-1641
(516) 428-3171
Mailing address
15 DOGWOOD ST, FARMINGDALE, NY 11735-1641
(516) 428-3171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007931-01
NY
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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