Individual
JEANINE GUNNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST, GOSHEN, NY 10924-1636
(845) 458-8661
Mailing address
68 CHATHAM RD, HEWITT, NJ 07421-1604
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
12/12/2018
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