Individual
DIANA MINARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7000
Mailing address
1706 E 2ND ST, BROOKLYN, NY 11223-1823
(239) 898-8050
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016315
NY
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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