Individual
LORI FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30 NATICK ST, STATEN ISLAND, NY 10306-1617
(718) 351-1155
Mailing address
80 MCARTHUR AVE, STATEN ISLAND, NY 10312-1925
(917) 749-0845
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
007309-1
NY
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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