Individual
GIOVANNY ISABEL LANTIGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4080 MAYWOOD DR, SEAFORD, NY 11783-1034
(347) 200-3134
Mailing address
4080 MAYWOOD DR, SEAFORD, NY 11783-1034
(347) 200-3134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00898-1
NY
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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