Individual
ANDREA RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
189 WHEATLEY RD, GLEN HEAD, NY 11545-2641
(516) 626-1075
Mailing address
41 NEPTUNE AVE, EAST PATCHOGUE, NY 11772-4829
(631) 730-7914
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011269-01
NY
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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