Individual
MRS. ELIZABETH LOUISE CAMPANELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.OTA
Contact information
Practice address
3031 79TH ST, EAST ELMHURST, NY 11370-1509
(917) 498-9427
Mailing address
3031 79TH ST, EAST ELMHURST, NY 11370-1509
(917) 498-9427
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005271
NY
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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