Individual
HOLLY SCOTT-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57 PROBST DRIVE, SHIRLEY, NY 11967
(631) 560-4006
Mailing address
57 PROBST DR, SHIRLEY, NY 11967-3316
(631) 560-4006
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
NY
224Z00000X
Occupational Therapy Assistant
Primary
011184-01
NY
Other
Enumeration date
12/13/2016
Last updated
09/19/2022
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