Individual
MRS. JO ANN M GANSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
366 OCONNOR RD, NORTH BABYLON, NY 11703-2522
(631) 649-4379
Mailing address
366 OCONNOR RD, NORTH BABYLON, NY 11703-2522
(631) 649-4379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
006387-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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