Individual
MRS. ILENE CAREN SOLOMON MCKILLOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 SHERWOOD CRES, DIX HILLS, NY 11746-6458
(516) 410-0295
(631) 254-2577
Mailing address
3 SHERWOOD CRES, DIX HILLS, NY 11746-6458
(516) 410-0295
(631) 254-2577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003930-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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