Individual
MS. SAMANTHA JEWELL DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
52 MOUNTAINVIEW AVE, NYACK, NY 10960-1708
(631) 600-3029
Mailing address
52 MOUNTAINVIEW AVE, NYACK, NY 10960-1708
(845) 520-8308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010816
NY
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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