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Individual

MRS. JENNIFER ANN MATARESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
49 WIRELESS BLVD, SUITE 170, HAUPPAUGE, NY 11788-3965
(631) 382-7311
Mailing address
12 GENEVA PL, GREENLAWN, NY 11740-1906

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
012565
NY

Other

Enumeration date
05/01/2007
Last updated
10/30/2008
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