Individual
MS. CHRISTINE MARIE PANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3 BRADY AVENUE, SMALLWOOD, NY 12778-0416
(845) 807-3251
Mailing address
PO BOX 416, SMALLWOOD, NY 12778-0416
(845) 807-3251
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007790-1
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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