Individual
TAYLOR ANN PRODROMAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
60 SEAVIEW TER, NORTHPORT, NY 11768-2928
(516) 662-7035
Mailing address
60 SEAVIEW TER, NORTHPORT, NY 11768-2928
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008383-1
NY
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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