Individual
MRS. TABITHA R WALENDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 SHAMOKIN LN, EAST ISLIP, NY 11730-2642
(631) 258-6445
Mailing address
3 SHAMOKIN LN, EAST ISLIP, NY 11730-2642
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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