Individual
GABRIELLE NICOLE MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(631) 786-0143
Mailing address
14 BRASSWOOD RD, SAINT JAMES, NY 11780-3410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023332
NY
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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