Individual
MRS. NICOLE CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
45 PATCHOGUE DR, ROCKY POINT, NY 11778-9336
(631) 849-3738
Mailing address
45 PATCHOGUE DR, ROCKY POINT, NY 11778-9336
(631) 849-3738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006896-1
NY
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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