Individual
MRS. DENISE JEAN RIBARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(631) 742-6100
Mailing address
2 ROOSEVELT AVE, SUITE 300, SYOSSET, NY 11791-3064
(631) 742-6100
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
004498-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004498-1
OCCUPATIONAL THERAPY LICENSE NUMBER
NY
Enumeration date
08/13/2009
Last updated
08/13/2009
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