Individual
MRS. DIANE MARIE VENTIMIGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
38 FIREPLACE LN, HICKSVILLE, NY 11801-6410
(516) 520-7159
Mailing address
38 FIREPLACE LN, HICKSVILLE, NY 11801-6410
(516) 520-7159
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005557-1
NY
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
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