Individual
DANIELLE MARIE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARK AVE, HUNTINGTON, NY 11743-4543
(631) 676-5246
Mailing address
PO BOX 1025, REMSENBURG, NY 11960-1025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0079371
NY
Other
Enumeration date
08/24/2011
Last updated
08/24/2011
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