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Individual

BETHANY FAITH DEPALO MILOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
511 7TH AVE, BROOKLYN, NY 11215-6126
(718) 965-1190
Mailing address
215 TURKEY RIDGE DR, KUNKLETOWN, PA 18058-8163
(732) 829-0659

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023494
NY

Other

Enumeration date
04/30/2019
Last updated
04/30/2019
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