Individual
MRS. ELLYN CHRISTEN GATELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 SALEM CT, WADING RIVER, NY 11792-2322
(631) 965-8992
Mailing address
5 SALEM CT, WADING RIVER, NY 11792-2322
(631) 965-8992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
007739
NY
Other
Enumeration date
09/07/2010
Last updated
07/02/2016
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