Individual
LUNA JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
77 N CENTRE AVE STE 215, ROCKVILLE CENTRE, NY 11570-3923
(631) 363-5794
Mailing address
101 SMITH ST, DEER PARK, NY 11729-2646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
028845
NY
225XP0200X
Pediatric Occupational Therapist
Primary
028845
NY
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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