Individual
MRS. DANIELLE STRAFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
113 DANBURY ST, BAY SHORE, NY 11706-5819
(646) 709-2096
Mailing address
113 DANBURY ST, BAY SHORE, NY 11706-5819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007414-1
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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