Individual
JOANNE KANALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 5TH AVE, BAY SHORE, NY 11706-4147
(631) 665-1900
Mailing address
1428 FIFTH AVE., BAY SHORE, NY 11706
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA#005673-1
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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