Individual
INKEN MARIA PROCHILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
27 OELSNER DR, NORTHPORT, NY 11768-1228
(631) 757-6149
Mailing address
27 OELSNER DR, NORTHPORT, NY 11768-1228
(631) 757-6149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006661-1
NY
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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