Individual
GABRIELLA BOTTALICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 THORNYCROFT AVE, STATEN ISLAND, NY 10312-6520
(347) 907-3342
Mailing address
17 THORNYCROFT AVE, STATEN ISLAND, NY 10312-6520
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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